Comprehensive Metabolic Panel

Included Tests

Alanine Aminotransferase (ALT; SGPT);  Alkaline Phosphatase; Aspartate Aminotransferase (AST; SGOT); Bilirubin, Total; Blood Urea Nitrogen (BUN); Calcium (Ca); Creatinine; Electrolytes [Carbon Dioxide (CO2); Chloride (CL); Potassium (K); Sodium (Na)]; Glucose; Protein Fractionation [A/G Ratio; Albumin; Globulin; Protein, Total]

Reference Range:

Alanine Aminotransferase (ALT; SGPT): 

Male > 20 years: 9 -21 mg/dL
Female > 20 years: 7 - 18 mg/dl 

Calcium: 

Creatinine:
Male:
< 1 year: 0.3 - 1.0 mg/dl
1 year to 4 years: 0.1 - 0.4 mg/dl
5 years to 11 years: 0.2 - 0.7 mg/dl
12 years to 15 years: 0.4 - 0.9 mg/dl
> = 16 years: 0.8 - 1.4 mg/dl

Females
< 1 year: 0.3 - 1.0 mg/dl
1 year to 5 years: 0.1 - 0.5 mg/dl
6 years to 15 years: 0.3 - 0.7 mg/dl
> = 16 years: 0.6 - 1.1 mg/dl

Electrolytes:
Carbon Dioxide 
< 1 year: 14 - 23 mmol/L
> 1 year: 21 - 29 mmol/L

Chloride
98 - 107 mmol/L

Potassium
1 day to 1 month: 4.0 - 6.0 mmol/L
1 month to 2 years: 3.8 - 5.6 mmol/L
> 2 years: 3.6 - 5.1 mmol/L

Sodium
1 day to 1 month: 133 - 150 mmol/L
1 month to Adult: 134 - 146 mmol/L

Glucose: 
70 - 99 mg/dL

Protein Fractionation: 
Albumin: 3.4 - 5.0 g/dL
A/G Ratio: 1.0 - 2.5 g/dL
Globulin: 1.9 - 3.7 g/dL
Total Protein: 6.3 - 8.2 g/dL

Critical Ranges:

Blood Urea Nitrogen (BUN)
NICU (Infants in a Parkview Health Neonatal Intensive Care Unit): 
>50 mg/dL

Pediatric to Adult
>100 mg/dL

Calcium:
NICU (Infants in a Parkview Health Neonatal Intensive Care Unit): 
Low: < 6.0 mg/dL 
High: > 11.5 mg/dL
 
Low: < 7.0 mg/dL 
High: > 13.0 mg/dL

Creatinine:
> 10.0 mg/dL

Electrolytes:
Carbon Dioxide 
Low: < 10 mmol/L
High: > 45 mmol/L

Potassium
NICU (Infants in a Parkview Health Neonatal Intensive Care Unit): 
Low: <3.5 mmol/L
High: >6.9 mmol/L

Low: < 2.5 mmol/L
High: > 6.0 mmol/L

Sodium
NICU (Infants in a Parkview Health Neonatal Intensive Care Unit): 
<125 mmol/L
>= 155 mmol/L

1 day to Adult:
Low: < 120 mmol/L
High: > 160 mmol/L

Glucose
Pediatric Low: < 30 mg/dL
Pediatric High: > 300 mg/dL
Inpatient Low: < 54 mg/dL
Inpatient High: > 500 mg/dL
Outpatient Low: < 40 mg/dL
Outpatient High: > 400 mg/dL

Test Comments:

Test can be reported with disclaimer if on cells for 4 - 6 hours.

Methodology:

• Multiple - Based on Individual Components

CDM

01428053

CPT Coding

80053