Oral Procedures

Lab Request

 

To:        Quest Diagnostics Lab

              Grossmont Medical Center, Building 3, Ste # 463

              La Mesa, CA 91942

              (619) 464-2212

 

 

Test Requested:     Serum CTX Test – Code 17406X

                                Send to Quest San Juan Capistrano, CA

                                Report pg/ml

 

Diagnosis:  Osteoporosis ICD-9 Code 733.00 and / or Osteonecrosis ICD-9 Code 733.40

 

Risk of Bisphosphonate Induced Osteonecrosis of the Jaws

 

 

Above 150 – Minimal Risk

100-150 – Moderate Risk

Below 100 – Increased Risk

 

 

Special Instructions to Patient : Early Morning, FASTING