Last Modified: 3/25/2019 4:09:38 PM

  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements:

2.0 mL Serum in a SST Gold Top Tube

Collection Instructions:

Avoid Hemolysis

If sending a frozen - Split into 2 plastic vials before freezing

Minimum Volume: 1.0 mL
Transport & Storage: Temperature/Stability: 5 days Ambient
14 days Refrigerated 
60 days Frozen
Rejection Criteria: Hemolysis; moderate or gross itecric;
Reference Range: 190 - 270 umol/L
Critical Ranges:  
Test Comments:  
Methodology: Colorimetry
Clinical Significance: The fructosamine assay is useful in monitoring the degree of glycemia over short-to-intermediate time frames (1-3 weeks). A fructosamine concentration greater than the established normal range is an indication of prolonged hyperglycemia of 1-3 weeks or longer. The higher the fructosamine value, the poorer the degree of glycemia control
Documentation: Patients with low albumin concentrations may exhibit depressed levels of fructosamine.
Custom Panel: No


Turn Around Time: 2 to 5 days
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Quest - Valencia
PHL Test Code: FRUC
EPIC Test Code: LAB1013
Send Out Test Code: 8340
Alternate Test Names: Glycated Protein; Glycated Serum Protein; GSP
Included Tests:  
CPT Coding: 82985

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