Last Modified:
6/10/2019 7:03:35 AM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
3.0 mL Plasma from a Grey Top Tube - Na Fluoride K+ in a Plastic Vial
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
1. Pre-Chill tube before collection
2. Invert specimen 6 times
3. Place specimen in ice immediately after collection
4. Centrifuge and separate specimen into Plastic Vial within 15 minutes of collection
5. Place the separated specimen back into the ice.
6. Specimen can now be shipped to the laboratory in ice or frozen for transport. .
Minimum Volume:
0.2 mL
Transport & Storage: Temperature/Stability:
14 days Refrigerated
30 days Frozen (transport)
Must be shipped in Ice or Frozen
Rejection Criteria:
Specimen not kept directly on ice; in specimen bag in separate pocket not allowed.
Reference Range:
0.4 -2.0 mmol/L
Critical Ranges:
=>4.0 mmol/L
Test Comments:
Methodology:
Enzymatic
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Stat Eligible:
Yes
Days Performed:
Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Parkview Hospital Randallia, Parkview Huntington, Parkview LaGrange, Parkview Noble, Parkview Regional Medical Center, Parkview Wabash, Parkview Warsaw , Parkview Whitley
PHL Test Code:
LAC1
EPIC Test Code:
LAB95
Alternate Test Names:
Lactate
Included Tests:
CPT Coding:
83605
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