Parkview Health Laboratory: Test Directory

Medicare Medical Necessity Restrictions May Apply

Medical Necessity Documentation:

Duplicate testing on this test is not acceptable per Medicare: Testing to only be done every 90 days

Patient Preparation:

Specimen Requirements:

3.0 mL Whole Blood in a Lavender Top Tube - EDTA

Collection Instructions:

Minimum Volume: 1.0 mL Whole Blood

Transport & Storage: Temperature/Stability:

1 day Ambient
4 days Refrigerated

Do Not Freeze

Reference Range:

4.0 - 5.7%

Interpretation
Non-Diabetic:   <5.7
Increased risk of diabetes:   5.7 - 6.4
Consistent with diabetes:   >or= 6.5

Critical Ranges:

Test Comments:

Standards of Medical Care in Diabetes - 2010
Diabetes Care, 33 (Supp 1): S1-S61, 2010

Methodology: HPLC (tracable to reference methods NGSP & IFCC. Certified by the NGSP)

Clinical Significance:

Documentation: The American Diabetes Association has recommended that laboratories report the eAG result as an adjunct to the A1c.
While the A1c result represents the average glucose over time, the eAG will be reported in the same units as daily self-monitoring glucose devices and may assist the patient’s ability to interpret the A1c.
For patients that may see an average glucose on their glucose meters, the eAG value may likely not match. People with diabetes are more likely to test more often when their glucose levels are low, while the eAG represents glucose levels continuously throughout the day including after meals when people are less likely to test. The eAG may help patients more directly see the difference between their individual meter readings and how they are doing with their glucose management overall.

Custom Panel: No

Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday

Sites Performed: Parkview Regional Medical Center, Parkview Wabash

PHL Test Code: GLYC1

EPIC Test Code: IMO90

Alternate Test Names: A1C; Glyco; Glycosylated Hemoglobin; HbA1C; Hemoglobin A1C; Hemoglobin with MPG

Included Tests: Estimated Average Glucose (eAG); Glycohemoglobin (HbA1C)

CPT Coding: 83036

Parkview Laboratory: Test Directory

Glycohemoglobin

PRODUCTION SCHEDULE