Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
1.0 mL Plasma from a PST Mint Green Top Tube - Lithium Heparin (preferred)
or
1.0 mL Serum in a SST Gold Top Tube
Collection Instructions:
Do not collect in Lavendar Top Tube - EDTA
Avoid Hemolysis
Centrifuge and Separate from Cells within 4 hours of collection
Minimum Volume:
0.2 mL Plasma and Serum
Neonatal Volume:
0.3 mL Whole Blood Green Microtainer
Transport & Storage: Temperature/Stability:
2 days Refrigerated
Reference Range:
See Individual Tests
Critical Ranges:
See Individual Tests
Test Comments:
Methodology:
Colorimetric / Ion Selective Electrode
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Stat Eligible:
Yes
Days Performed:
Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Parkview Cancer Institute, Parkview Dekalb Hospital, Parkview Huntington Hospital, Parkview LaGrange Hospital, Parkview Noble Hospital, Parkview Randallia Hospital, Parkview Regional Medical Center, Parkview Southwest , Parkview Wabash Hospital, Parkview Warsaw , Parkview Whitley Hospital
PHL Test Code:
RENAL
EPIC Test Code:
LAB19
Alternate Test Names:
RFP
Included Tests:
Albumin; Anion Gap; Blood Urea Nitrogen (Bun); Calcium (Ca); Creatinine; Electrolytes [Carbon Dioxide (CO2); Chloride (CL); Potassium (K); Sodium (Na)]; Glucose; Phosphorus (Phos)
CPT Coding:
80069