Last Modified:
8/30/2023 12:59:08 PM
Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:
Client Notes:
Venipuncture should occur prior to N-Acetycysteine or Metamizole administration due to the potential for falsely depressed results
Patient Preparation:
12 hours Fasting
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 Plasma or Serum
Neonatal Volume:
0.3 mL Whole Blood Green Microtainer
Transport & Storage: Temperature/Stability:
1 week Refrigerated
48 hours unspun
Reference Range:
0 - 150 mg/dl
Critical Ranges:
Test Comments:
Methodology:
Enzymatic
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
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 Whitley Hospital
PHL Test Code:
TRIG
EPIC Test Code:
LAB134
Alternate Test Names:
TRIG
Included Tests:
CPT Coding:
84478
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