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View Medical Necessity Guide
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Glucose, 4 PM
Last Modified:
8/30/2023 12:24:06 PM
Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
1.0 mL Plasma in a PST
Mint Green Top Tube
- Li Heparin
Collection Instructions:
Avoid Hemolysis
Specimen must be spun within 4 hours of collection
Minimum Volume:
0.2 mL
Transport & Storage: Temperature/Stability:
3 days Refrigerated
Reference Range:
Reference Ranges Not Established
Critical Ranges:
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 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:
GLU4P
EPIC Test Code:
LAB2330
Alternate Test Names:
4 PM Glucose
Included Tests:
CPT Coding:
82947
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