Last Modified:
2/13/2019 2:34:04 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
Minimum of 0.5 mL Whole Blood in a 3.0 mL Syringe with Heparin
or
Minimum of 0.2 mL Whole Blood in a Tuberculin Syringe with Heparin
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
Place on ice immediately after collection for up to 2 hours
All extra air must be expelled at collection
Remove needle from syringe before submitting to the laboratory
Transport & Storage: Temperature/Stability:
10 minutes Ambient
2 hours Iced
Reference Range:
Base Excess: -2.0 - 2.0
HCO3: 21 - 28
O2 Sat: 95 -100
pCO2: 35 - 46
pH: 7.35 - 7.45
pO2: 80 - 100
TCO2: 22 - 29
Critical Ranges:
Low Limits: High Limits
pCO2: < 20 pCO2: > 70
pH: < 7.10 pH: > 7.60
pO2: < 20 TCO2: > 45
TCO2: < 10
Test Comments:
Methodology:
ISE / Co-oximetry
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:
ABG1
EPIC Test Code:
LAB76
Alternate Test Names:
ABG; Arterial Blood Gas
Included Tests:
Base Excess; HCO3; O2 Sat; pCO2; pH; pO2; TCO2
CPT Coding:
82805
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