Limited Metabolic Panel

Last Modified: 3/2/2020 9:30:52 AM

Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 1.0 mL Plasma from a PST Mint Green Top Tube - Lithium Heparin (preferred)
1.0 mL Serum in a SST Gold Top Tube
Collection Instructions: Avoid Hemolysis

Centrifuge and separate from cells within 4 hours of collection
Transport & Storage: Temperature/Stability: 2 days Refrigerated

4 hours unspun
Reference Range: See Individual Test Ranges
Critical Ranges:  
Test Comments:  
Methodology: Multiple - Based on Individual Components
Clinical Significance:  
Custom Panel: No


Stat Eligible: Yes
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Dekalb, Parkview Hospital Randallia, Parkview Huntington, Parkview LaGrange, Parkview Noble, Parkview Regional Medical Center, Parkview Wabash, Parkview Warsaw , Parkview Whitley
PHL Test Code: CHEM6
EPIC Test Code: LAB2274
Alternate Test Names: Chem 6; Chem 7; Chemistry Panel 6; LMP
Included Tests: Blood Urea Nitrogen (BUN); Creatinine; Electrolytes [Carbon Dioxide (CO2); Chloride (CL); Potassium (K); Sodium (Na)]
CPT Coding: 80051, 82565, 84520

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