|Values are valid only on day of printing.|
1. Electron Microscopy Patient Information in Special Instructions
2. Electron Microscopy Procedures of Handling Specimens for Electron Microscopy in Special Instructions
3. If not ordering electronically, complete, print, and send a Pathology Test Request Form (T246) with the specimen (http://www.mayomedicallaboratories.com/media/customer-service/forms/pathology-request-form.pdf).
A completed Patient Information Sheet is required for all Electron Microscopy Consultations (see Special Instructions)
Collect specimen according to the instructions in Electron Microscopy Procedures of Handling Specimens for Electron Microscopy in Special Instructions. Do not place on ice, dry ice, or freeze.
Submit only 1 of the following specimen types:
Specimen Type: Fixed wet tissue
Container/Tube: Electron Microscopy Kit (Supply T660) or leak-proof container
Specimen Volume: Entire specimen
Additional Information: 70012 / Pathology Consultation may be added if deemed necessary by the reviewing pathologist.
Specimen Type: Whole blood (Neuronal Ceroid Lipofuscinosis-NCL only)
Container/Tube: Electron Microscopy Kit (Supply T660), green top (sodium heparin), or yellow top (ACD [solution B])
Specimen Volume: 5 mL
Collection Instructions: Do not transfer blood to other containers.
Additional Information: Specimen must arrive within 48 hours of draw.