- The Histology Stain List has been updated and can be viewed in Requisition Forms under the Ordering Information Tab.
Complete ALL patient demographic information (name, DOB, or SSN).
Provide at least the two unique patient identifiers including legal name and birthdate.
Include the ordering provider
Order test(s) desired by checking box to the left of the test or write in orders in the space provided on the bottom of the page.
Provide ALL applicable ICD-10 code(s) (diagnosis) for the test(s) ordered (there is NO limit to the # of diagnoses for laboratory tests) either by checking the boxes that apply or writing them in the field provided when using a paper requisition. When using an electronic interface some restrictions may apply so the use of the most relevant codes is beneficial.
Use diagnosis that describes why you ordered a test NOT why you are seeing the patient, e.g., the reason a reticulocyte is ordered is for anemia (established diagnosis, symptoms, or signs) NOT the leukemia for which the patient is being treated.
Do NOT use "rule out" as a diagnosis; use signs/symptoms, or use signs &/or symptoms that cause to want to "rule out" a disorder or disease, e.g., a patient exhibits polyuria, sweating, and polyphagia. Diabetes is to be ruled out. These symptoms/signs justify ordering a glucose.
Be sure to document the test orders in patient records not just on the requisition form.