Blood Gas, Capillary

Last Modified: 8/30/2023 11:56:53 AM


Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 2 full capillary tubes
Collection Instructions: Due to smearing of print while on ice, please label specimen following procedure and a second label in the pocket of transport bag with requisition

Mix immediately with flea, put cap tubes in Red top and ice specimen
Transport & Storage: Temperature/Stability: 2 hours on ice
Reference Range: Base Excess:  -2.0 - 2.0
HCO3: 21 - 28
O2 Sat: 95 -100
pCO2: 35 - 46
pH: 7.35 - 7.45
pO2: 80 - 100
TCO2: 22 - 29
Critical Ranges: Low Limits:                           High Limits
pCO2: < 20                            pCO2: > 70
pH: < 7.10                              pH: > 7.60
TCO2: < 10                            TCO2: > 45
Test Comments:  
Methodology: ISE / Co-oximetry
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Stat Eligible: Yes
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: 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: CABG
EPIC Test Code: LAB78
Alternate Test Names: Capillary Blood Gases
Included Tests: Base Excess; HCO3; O2 Sat; pCO2; pH; pO2; TCO2
CPT Coding: 82805

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