Last Modified:
8/30/2023 12:53:10 PM
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:
Minimum Volume:
0.2 mL
Transport & Storage: Temperature/Stability:
7 days Refrigerated
48 hours unspun
Reference Range:
1 day to 1 month: 133 - 150 mmol/L
1 month to Adult: 134 - 146 mmol/L
Critical Ranges:
1 day to Adult:
Low: < 120 mmol/L
High: > 160 mmol/L
Test Comments:
Methodology:
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:
NA
EPIC Test Code:
LAB122
Alternate Test Names:
Na
Included Tests:
CPT Coding:
84295
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