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BN 1396-01 Laboratory Request Form - Boone Hospital Center

BN 1396-01 Laboratory Request Form - Boone Hospital Center-2025

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The document is a laboratory request form from Boone Hospital Center, detailing the necessary information for ordering clinical laboratory tests. It includes sections for patient and insurance information, instructions for government payers regarding medical necessity, and a comprehensive list of available tests with corresponding CPT codes. The form emphasizes the importance of linking test orders to medical records and provides guidelines for billing procedures, particularly for Medicare and Medicaid.

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What is the purpose of a requisition from in a laboratory setting?

Background: A laboratory requisition form (LRF) is the main communication link between the laboratories and the clinicians. In a cytopathology laboratory, incomplete forms with inadequate information significantly impact the quality of the results and waste precious time of the lab.

What is a laboratory lab requisition form?

A lab requisition form is used by healthcare professionals to request laboratory tests such as or blood testing. They are also called test requisition forms.

What is the purpose of a requisition form?

A requisition is a formal request for obtaining a product or service, typically initiated by a business. The requisition process typically requires standardized documents, known as requisition forms, to maintain an audit trail, although most are electronic forms.

What is a general laboratory requisition?

General laboratory requisition forms are used by physicians when performing comprehensive medical tests as part of routine checkups, diagnoses and benchmarking new patients.