Last Modified: 10/22/2021 7:24:33 AM

Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 4.0 mL Whole Blood in a Green Top Tube Li Heparin

Minimum 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

Do not open specimen

Place on ice immediately after collection for up to 2 hours
Minimum Volume: 1.0 mL
Transport & Storage: Temperature/Stability: 10 minutes Ambient
2 hours Iced
Reference Range: 23 - 30 mEq/L
Critical Ranges:  
Test Comments: If Bicarbonate ordered and whole blood not received a CO2 will be reported.
Methodology: Calculation
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 Warsaw , Parkview Whitley
PHL Test Code: HCO3
EPIC Test Code: LAB2336
Alternate Test Names: HCO3
Included Tests:  
CPT Coding: 82374

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