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Test ID SUDC Sudden Cardiac Death Pathology Consultation


Ordering Guidance


This test is only orderable for the Sudden Cardiac Death Pathology Evaluation study.



Necessary Information


The following information is required:

1. All requisitions must be labeled with:

-Patient name, date of birth. date of death and medical record number

-Name and phone number of the referring pathologist, ordering physician or medical examiner

-Anatomic site and collection date

2. All specimens must be labeled with:

-Two patient identifiers (first and last name, date of birth or medical record number)

-Specimen type and anatomic site

3. A brief patient history is essential to achieve a consultation fully relevant to the ordering physician's needs.

 

All requisition and supporting information must be submitted in English.



Specimen Required


Specimen Type: Heart specimen

Supplies:

-Pathology Packaging Kit (T554)

-Refrigerate/Ambient Shipping Box, 5 lb (T329)

Specimen Volume: Entire specimen

Collection Instructions:

1. Fix entire specimen in formalin for a minimum of 24 hours.

2. Following fixation, lightly wrap specimen in formalin-soaked paper towel, place in a leak-proof sealable bag with a small amount of formalin, seal, and ship ambient in a sturdy shipping container.

Additional Information: Paraffin block may be accepted.

 

Specimen Type: Blood

Container/Tube: Lavender top (EDTA)

Specimen Volume: 10 mL


Useful For

Identifying specific causes contributing to sudden cardiac death

Testing Algorithm

An interpretation will be provided by Mayo staff pathologists within a formal pathology report sent to the referring Medical Examiner.

 

Appropriate stains and other ancillary testing may be performed at an additional charge.

Method Name

Medical Interpretation

Reporting Name

Sudden Cardiac Death Path Consult

Specimen Type

SUDC Study Specimen

Specimen Minimum Volume

See Specimen Required

Specimen Stability Information

Specimen Type Temperature Time Special Container
SUDC Study Specimen Ambient (preferred)
  Frozen 
  Refrigerated 

Reference Values

An interpretive report will be provided.

Day(s) Performed

Monday through Friday

Report Available

14 to 28 days: Cases requiring additional material or ancillary testing may require additional time.

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

Not Applicable

CPT Code Information

88037

LOINC Code Information

Test ID Test Order Name Order LOINC Value
SUDC Sudden Cardiac Death Path Consult In Process

 

Result ID Test Result Name Result LOINC Value
606931 Interpretation 59465-5
606932 Participated in the Interpretation No LOINC Needed
606933 Report electronically signed by 19139-5
606934 Addendum 35265-8
606935 Gross Description 22634-0
606936 Material Received 22633-2
606937 Disclaimer 62364-5
606938 Case Number 80398-1

Forms

If not ordering electronically, complete, print, and send a Sudden Cardiac Death Pathology Consultation Request with the specimen.