Last Modified:
8/30/2023 12:15:08 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
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
Transport & Storage: Temperature/Stability:
1 week Refrigerated
72 hours unspun
Reference Range:
Male:
< 1 year: 0.3 - 1.0 mg/dl
1 year to 4 years: 0.1 - 0.4 mg/dl
5 years to 11 years: 0.2 - 0.7 mg/dl
12 years to 15 years: 0.4 - 0.9 mg/dl
> = 16 years: 0.8 - 1.40 mg/dl
Females
< 1 year: 0.3 - 1.0 mg/dl
1 year to 5 years: 0.1 - 0.5 mg/dl
6 years to 15 years: 0.3 - 0.7 mg/dl
> = 16 years: 0.6 - 1.10 mg/dl
Critical Ranges:
> 10.0 mg/dL
Test Comments:
GFR will not reflex if patient is less than 18 years of age.
IDSM Traceable
Methodology:
Colorimetric
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:
CREAT
EPIC Test Code:
LAB970
Alternate Test Names:
Cr
Included Tests:
Creatinine; GFR Calculation
CPT Coding:
82565
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