Tests Catalogs

HEMATOPOIETIC PROGENITOR CELL

Collect

One 4.0 mL purple top (K2EDTA whole blood), or One 6.0 mL pink top (K2EDTA whole blood).

Also acceptable: Whole blood anticoagulated with K3EDTA.

Minimum volume 1.0 mL whole blood.

This test is only performed in conjunction with test CD34 PB. CD34 PB must also be ordered.

Pediatric Collection

Minimum volume 1.0 mL whole blood antigoagulated with K2EDTA or K3EDTA.

Unacceptable Conditions

Sample greater than two hours old; clotted sample; sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature. Sample must be received in lab within two hours of collection.

Offsite: Do not centrifuge. Transport to lab immediately at ambient temperature. Sample must be received in lab within two hours of collection.

Performed by

PCL Clinical Laboratory - Core Hematology

Performed

Upon receipt

Methodology

Radio Frequency  and Direct Current

Reported

Same day

Interpretive Data

Results will be reported as either:

See note: Refer to the STEM CELL CD34 result.

or

>10 cells/uL.

HPC results that are greater than 10 cells/uL are indicative of the CD34 result being >10 cells/uL.

Performed by

PCL Clinical Laboratory - Core Hematology

CPT Codes

85048

Collection

Collect

One 4.0 mL purple top (K2EDTA whole blood), or One 6.0 mL pink top (K2EDTA whole blood).

Also acceptable: Whole blood anticoagulated with K3EDTA.

Minimum volume 1.0 mL whole blood.

This test is only performed in conjunction with test CD34 PB. CD34 PB must also be ordered.

Pediatric Collection

Minimum volume 1.0 mL whole blood antigoagulated with K2EDTA or K3EDTA.

Unacceptable Conditions

Sample greater than two hours old; clotted sample; sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature. Sample must be received in lab within two hours of collection.

Offsite: Do not centrifuge. Transport to lab immediately at ambient temperature. Sample must be received in lab within two hours of collection.

Performed by

PCL Clinical Laboratory - Core Hematology

Ordering

Performed

Upon receipt

Methodology

Radio Frequency  and Direct Current

Reported

Same day

Result Interpretation

Interpretive Data

Results will be reported as either:

See note: Refer to the STEM CELL CD34 result.

or

>10 cells/uL.

HPC results that are greater than 10 cells/uL are indicative of the CD34 result being >10 cells/uL.

Performed by

PCL Clinical Laboratory - Core Hematology

Administrative

CPT Codes

85048

HEMOCHROMATOSIS 3 GENE MUTATIONS

LAB833

Collect

Lavender/Purple (EDTA) tube
(Minimum volume = 1.0 mL Whole Blood)

Unacceptable Conditions

Clotted blood specimens (red top tubes), serum/plasma, frozen specimens.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

Ambient: 2 days;
Refrigerated: 8 days;
Frozen: unacceptable.

Performed by

Effective: 12/6/16
Colorado Molecular Correlates (CMOCO) Laboratory

Performed

Mon - Fri

Reported

10 days

Synonyms

  • HFE Gene Mutations
  • Hemochromatosis DNA Test
  • LAB833
  • HFE PCR
  • Hemochromatosis HFE Gene Mutations

Reference Interval

C282Y Negative: The patient is negative for the HFE C282Y mutation.
H63D Negative: The patient is negative for the HFE H63D mutation.
S65C Negative: The patient is negative for the HFE S65C mutation

Performed by

Effective: 12/6/16
Colorado Molecular Correlates (CMOCO) Laboratory

CPT Codes

81256

Collection

LAB833

Collect

Lavender/Purple (EDTA) tube
(Minimum volume = 1.0 mL Whole Blood)

Unacceptable Conditions

Clotted blood specimens (red top tubes), serum/plasma, frozen specimens.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

Ambient: 2 days;
Refrigerated: 8 days;
Frozen: unacceptable.

Performed by

Effective: 12/6/16
Colorado Molecular Correlates (CMOCO) Laboratory
Ordering

Performed

Mon - Fri

Reported

10 days

Synonyms

  • HFE Gene Mutations
  • Hemochromatosis DNA Test
  • LAB833
  • HFE PCR
  • Hemochromatosis HFE Gene Mutations
Result Interpretation

Reference Interval

C282Y Negative: The patient is negative for the HFE C282Y mutation.
H63D Negative: The patient is negative for the HFE H63D mutation.
S65C Negative: The patient is negative for the HFE S65C mutation

Performed by

Effective: 12/6/16
Colorado Molecular Correlates (CMOCO) Laboratory
Administrative

CPT Codes

81256

HEMOGLOBIN

LAB291

HGB

Collect

One 4.0 mL Purple top (EDTA whole blood).  Minuimum volume 1.0 mL.

Pediatric Collection

At least 0.5 mL whole blood collected in a 1.0 mL microtainer, purple top, EDTA whole blood.

Unacceptable Conditions

Sample not properly identified; incorrect container; clotted sample; frozen sample.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.
Offsite: Do not centrifuge. Transport to laboratory at 2-8 degrees C if transport time is outside of ambient temperature stability guidelines.

Stability (from collection to initiation)

Ambient: 24 hours; Refrigerated: 36 hours; Frozen: Unacceptable.

Performed by

PCL Clinical Laboratory - Core

Notes

Blood volume of 0.5 mL or less in a 4.0 mL purple top (EDTA whole blood) is unacceptable. Blood volume between 0.5 mL and 1.0 mL in a 4.0 mL purple top (EDTA whole blood) is a suboptimal specimen and results will be reported with this disclaimer: "Low volume sample, results may be unreliable."

Performed

Daily

Methodology

Automated Cell Counter

Reported

Routine requests are reported within 8 hours.

Synonyms

  • LAB291
  • HGB

Reference Interval

Component Sex From Age To Age Normal Low Normal High Units
HEMOGLOBIN M/F 0 4D 14.5 22.5 g/dL
M/F 4D 15D 12.5 21.5 g/dL
M/F 15D 1M 10.0 18.0 g/dL
M/F 1M 3M 9.0 14.0 g/dL
M/F 3M 2 9.5 13.5 g/dL
M/F 2 13 11.5 15.5 g/dL
M/F 13 18 13.0 16.0 g/dL
M 18 150 14.3 18.1 g/dL
F 18 150 12.1 16.3 g/dL

Performed by

PCL Clinical Laboratory - Core

CPT Codes

85018

Collection

LAB291

HGB

Collect

One 4.0 mL Purple top (EDTA whole blood).  Minuimum volume 1.0 mL.

Pediatric Collection

At least 0.5 mL whole blood collected in a 1.0 mL microtainer, purple top, EDTA whole blood.

Unacceptable Conditions

Sample not properly identified; incorrect container; clotted sample; frozen sample.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.
Offsite: Do not centrifuge. Transport to laboratory at 2-8 degrees C if transport time is outside of ambient temperature stability guidelines.

Stability (from collection to initiation)

Ambient: 24 hours; Refrigerated: 36 hours; Frozen: Unacceptable.

Performed by

PCL Clinical Laboratory - Core

Notes

Blood volume of 0.5 mL or less in a 4.0 mL purple top (EDTA whole blood) is unacceptable. Blood volume between 0.5 mL and 1.0 mL in a 4.0 mL purple top (EDTA whole blood) is a suboptimal specimen and results will be reported with this disclaimer: "Low volume sample, results may be unreliable."
Ordering

Performed

Daily

Methodology

Automated Cell Counter

Reported

Routine requests are reported within 8 hours.

Synonyms

  • LAB291
  • HGB
Result Interpretation

Reference Interval

Component Sex From Age To Age Normal Low Normal High Units
HEMOGLOBIN M/F 0 4D 14.5 22.5 g/dL
M/F 4D 15D 12.5 21.5 g/dL
M/F 15D 1M 10.0 18.0 g/dL
M/F 1M 3M 9.0 14.0 g/dL
M/F 3M 2 9.5 13.5 g/dL
M/F 2 13 11.5 15.5 g/dL
M/F 13 18 13.0 16.0 g/dL
M 18 150 14.3 18.1 g/dL
F 18 150 12.1 16.3 g/dL

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

85018

HEMOGLOBIN - URINE

LAB3305

Collect

Random urine.

Specimen Preparation

Centrifuge and separate urine from cells and other sediment. Transfer 4 mL aliquot of supernatant to an ARUP Standard Transport Tube. (Min: 0.7 mL)

Storage/Transport Temperature

Frozen. Also acceptable: Refrigerated.

Stability (from collection to initiation)

Ambient: Unacceptable; Refrigerated: 8 hours; Frozen: 1 month

Performed

Sun-Sat

Methodology

Quantitative Spectrophotometry

Reported

1-2 days

Synonyms

  • LAB3305
  • HGB U

Ordering Recommendations

Distinguish between hematuria and hemoglobinuria; hemoglobinuria in the absence of hematuria may indicate severe intravascular hemolysis.

Reference Interval

None detected

CPT Codes

83069
Collection

LAB3305

Collect

Random urine.

Specimen Preparation

Centrifuge and separate urine from cells and other sediment. Transfer 4 mL aliquot of supernatant to an ARUP Standard Transport Tube. (Min: 0.7 mL)

Storage/Transport Temperature

Frozen. Also acceptable: Refrigerated.

Stability (from collection to initiation)

Ambient: Unacceptable; Refrigerated: 8 hours; Frozen: 1 month
Ordering

Performed

Sun-Sat

Methodology

Quantitative Spectrophotometry

Reported

1-2 days

Synonyms

  • LAB3305
  • HGB U

Ordering Recommendations

Distinguish between hematuria and hemoglobinuria; hemoglobinuria in the absence of hematuria may indicate severe intravascular hemolysis.
Result Interpretation

Reference Interval

None detected
Administrative

CPT Codes

83069

HEMOGLOBIN A1C

LAB90

HGB A1C

 

Collect

One 4 mL Purple top tube (EDTA).

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; centrifuged sample.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Do not centrifuge. Send at 2-8 degrees C.

Stability (from collection to initiation)

Ambient: 24 hours; Refrigerated: 7 days; Frozen: Unacceptable.

Remarks

Any A1C order that is placed within 7 days of a prior A1C is considered a duplicate order and will be cancelled. Due to the lifespan of red blood cells, meaningful changes in A1C results do not occur in less than 7 days.

When ordered in Epic, a warning will appear when a repeat A1c is requested within the life span of red blood cells (approximately 120 days).  Results within this timeframe may not reflect changes in the average blood glucose.

Performed by

PCL Clinical Laboratory - Special Chemistry

Notes

Specimens with a HgF greater than 10.0% will be sent out to a referral lab for total glycosylated hemoglobin testing.

Performed

Mon - Fri

Methodology

High Performance Liquid Chromatography

Reported

Same day, next day if repeat testing is necessary

Synonyms

  • LAB90
  • GLYCOSYLATED HEMOGLOBIN
  • HGB A1C

Reference Interval

4.0 - 6.0%.

Interpretive Data

Interpret with caution in the context of hemoglobin variants, thalassemias, red blood cell transfusions, iron replacement therapy, chronic renal failure, and conditions with reduced erythrocyte survival.
The American Diabetes Association endorses using A1C >6.5% as a criteria for diagnosing diabetes and suggests that patients with values between 5.7%-6.4% are at increased risk for diabetes. Maintaining A1C levels at or below 7.0% has been shown to reduce the risk of long term diabetic complications.
Estimated Average Glucose by ADAG/ADA Calculation.

Performed by

PCL Clinical Laboratory - Special Chemistry

CPT Codes

83036

Collection

LAB90

HGB A1C

 

Collect

One 4 mL Purple top tube (EDTA).

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; centrifuged sample.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Do not centrifuge. Send at 2-8 degrees C.

Stability (from collection to initiation)

Ambient: 24 hours; Refrigerated: 7 days; Frozen: Unacceptable.

Remarks

Any A1C order that is placed within 7 days of a prior A1C is considered a duplicate order and will be cancelled. Due to the lifespan of red blood cells, meaningful changes in A1C results do not occur in less than 7 days.

When ordered in Epic, a warning will appear when a repeat A1c is requested within the life span of red blood cells (approximately 120 days).  Results within this timeframe may not reflect changes in the average blood glucose.

Performed by

PCL Clinical Laboratory - Special Chemistry

Notes

Specimens with a HgF greater than 10.0% will be sent out to a referral lab for total glycosylated hemoglobin testing.

Ordering

Performed

Mon - Fri

Methodology

High Performance Liquid Chromatography

Reported

Same day, next day if repeat testing is necessary

Synonyms

  • LAB90
  • GLYCOSYLATED HEMOGLOBIN
  • HGB A1C
Result Interpretation

Reference Interval

4.0 - 6.0%.

Interpretive Data

Interpret with caution in the context of hemoglobin variants, thalassemias, red blood cell transfusions, iron replacement therapy, chronic renal failure, and conditions with reduced erythrocyte survival.
The American Diabetes Association endorses using A1C >6.5% as a criteria for diagnosing diabetes and suggests that patients with values between 5.7%-6.4% are at increased risk for diabetes. Maintaining A1C levels at or below 7.0% has been shown to reduce the risk of long term diabetic complications.
Estimated Average Glucose by ADAG/ADA Calculation.

Performed by

PCL Clinical Laboratory - Special Chemistry

Administrative

CPT Codes

83036

HEMOGLOBIN ELECTROPHORESIS

LAB3757

HGB ELECT

Collect

One 4.0 mL purple top (EDTA) or one 6.0 mL pink top (K2EDTA).

Pediatric Collection

Minimum volume 0.2 mL blood.

Unacceptable Conditions

Specimen not properly identified; incorrect container; insufficient sample volume; frozen specimens.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.

Offsite: Transport to laboratory at 2-8 degrees C.

Stability (from collection to initiation)

Ambient: 1 hour; Refrigerated: 2 days; Frozen: Unacceptable

Performed by

PCL Clinical Laboratory - Special Chemistry

Performed

Tuesdays and Fridays

Methodology

Capillary Electrophoresis

Reported

7-10 days

Synonyms

  • HGB ELECT

Reference Interval

Hb A (Adult): 94.5 - 98.0%

Hb A2 (Adult): 2.0 -3.5%

Hb F (Birth - 3 months): 50.0 - 85.0%

Hb F (4-12 months): <15.0%

Hb F (1-2 years): 0.0 - 5.0%

Hb F (2 years - Adult): 0.0 - 2.0%

Performed by

PCL Clinical Laboratory - Special Chemistry

CPT Codes

83020 Electrophoresis; if needed 83021 HPLC; if needed 85027 CBC.

Collection

LAB3757

HGB ELECT

Collect

One 4.0 mL purple top (EDTA) or one 6.0 mL pink top (K2EDTA).

Pediatric Collection

Minimum volume 0.2 mL blood.

Unacceptable Conditions

Specimen not properly identified; incorrect container; insufficient sample volume; frozen specimens.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.

Offsite: Transport to laboratory at 2-8 degrees C.

Stability (from collection to initiation)

Ambient: 1 hour; Refrigerated: 2 days; Frozen: Unacceptable

Performed by

PCL Clinical Laboratory - Special Chemistry

Ordering

Performed

Tuesdays and Fridays

Methodology

Capillary Electrophoresis

Reported

7-10 days

Synonyms

  • HGB ELECT
Result Interpretation

Reference Interval

Hb A (Adult): 94.5 - 98.0%

Hb A2 (Adult): 2.0 -3.5%

Hb F (Birth - 3 months): 50.0 - 85.0%

Hb F (4-12 months): <15.0%

Hb F (1-2 years): 0.0 - 5.0%

Hb F (2 years - Adult): 0.0 - 2.0%

Performed by

PCL Clinical Laboratory - Special Chemistry

Administrative

CPT Codes

83020 Electrophoresis; if needed 83021 HPLC; if needed 85027 CBC.

HEMOGLOBIN FRACTIONATION, QUAL

LAB3022

HGB FRAC

Collect

Saturated Blotter (provided by Colorado Department of Public Health and Environment-CDPHE).

Pediatric Collection

Blotter: Dried blood spot that is large enough to punch six 4 mm discs.

Unacceptable Conditions

Sample not properly identified; blotter not saturated on both sides; sample not submitted on blotter.

Dried blood spots exposed to sunlight or heat will denature hemoglobin on the blotter.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite:  Deliver to laboratory at ambient temperature.

Stability (from collection to initiation)

Blotter- acceptable at any storage temperature.

Remarks

Newborn Screen for Hemoglobinopathies.

If an unstable hemoglobin variant is suspected, contact the laboratory at 720-848-6947 before collecting the specimen.

Performed by

PCL Clinical Laboratory- Special Chemistry

 

Performed

Once Weekly

Methodology

High Performance Liquid Chromatography; Isoelectric Focusing

Reported

7 - 10 days

Synonyms

  • HGB FRAC

Performed by

PCL Clinical Laboratory- Special Chemistry

 

CPT Codes

83021 HPLC and 83021 Isoelectric Focusing (IEF)

Collection

LAB3022

HGB FRAC

Collect

Saturated Blotter (provided by Colorado Department of Public Health and Environment-CDPHE).

Pediatric Collection

Blotter: Dried blood spot that is large enough to punch six 4 mm discs.

Unacceptable Conditions

Sample not properly identified; blotter not saturated on both sides; sample not submitted on blotter.

Dried blood spots exposed to sunlight or heat will denature hemoglobin on the blotter.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite:  Deliver to laboratory at ambient temperature.

Stability (from collection to initiation)

Blotter- acceptable at any storage temperature.

Remarks

Newborn Screen for Hemoglobinopathies.

If an unstable hemoglobin variant is suspected, contact the laboratory at 720-848-6947 before collecting the specimen.

Performed by

PCL Clinical Laboratory- Special Chemistry

 

Ordering

Performed

Once Weekly

Methodology

High Performance Liquid Chromatography; Isoelectric Focusing

Reported

7 - 10 days

Synonyms

  • HGB FRAC
Result Interpretation

Performed by

PCL Clinical Laboratory- Special Chemistry

 

Administrative

CPT Codes

83021 HPLC and 83021 Isoelectric Focusing (IEF)

HEMOSIDERIN STAIN URINE

LAB399

Collect

Random urine.

Patient Preparation

First-morning collection is preferred.

Specimen Preparation

Mix specimen well. Transfer 4 mL to an ARUP Standard Transport Tube. (Min: 1 mL).

Unacceptable Conditions

Specimens in preservatives.

Storage/Transport Temperature

Frozen.

Stability (from collection to initiation)

Ambient: 1 hour; Refrigerated: 24 hours; Frozen: 1 week

Performed

Sun-Sat

Methodology

Semi-Quantitative Microscopy

Reported

Within 24 hours

Synonyms

  • LAB399

Reference Interval

Negative

CPT Codes

83070
Collection

LAB399

Collect

Random urine.

Patient Preparation

First-morning collection is preferred.

Specimen Preparation

Mix specimen well. Transfer 4 mL to an ARUP Standard Transport Tube. (Min: 1 mL).

Unacceptable Conditions

Specimens in preservatives.

Storage/Transport Temperature

Frozen.

Stability (from collection to initiation)

Ambient: 1 hour; Refrigerated: 24 hours; Frozen: 1 week
Ordering

Performed

Sun-Sat

Methodology

Semi-Quantitative Microscopy

Reported

Within 24 hours

Synonyms

  • LAB399
Result Interpretation

Reference Interval

Negative
Administrative

CPT Codes

83070

HEP INDUCED IGG AB W/REFLEX

LAB3483

HIT RFLX

Collect

One 5.0 mL gold or red top tube with gel (SST), clot activator serum.

Pediatric Collection

0.1 mL serum minimum volume for HIT ELISA. If Serotonin Release Assay is needed, an additional 0.5 mL serum is required. See above for transport requirements.

Unacceptable Conditions

Heparinized sample; non-serum sample; microbially contaminated or heat-inactivated samples; sample not properly identified; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature. Samples must be received in lab by 11:00 a.m. for same day testing.
Offsite: Centrifuge within 30 minutes of collection, place at least 0.5 mL of plasma into TWO separate aliquot containers and transport to lab frozen.

Stability (from collection to initiation)

Before centrifugation: Ambient, 1 hour

After centrifugation: Refrigerated, 48 hours

Serum aliquot: Ambient, 12 hours; Refrigerated, 48 hours; Frozen (-20 degrees C), 2-3 years.

Remarks

Samples with positive results will automatically be sent for Serotonin Release Assay testing.

Performed by

PCL Clinical Laboratory - Specials (Coagulation)

Performed

Monday through Friday, day shift

Methodology

Qualitative ELISA; detects IgG antibodies that react to PF4-heparin complexes.

Reported

In 1-2 days

Synonyms

  • LAB3483
  • HIT ELISA
  • HIT RFLX
  • HEPARIN INDUCED THROMBOCYTOPENIA, ELISA

Reference Interval

NEGATIVE (O.D. <0.4)

Interpretive Data

This is a PF4 enhanced IgG ELISA assay.

Performed by

PCL Clinical Laboratory - Specials (Coagulation)

CPT Codes

86022; If indicated by positive results, reflexes to Serotonin Release Assay 86022-59.

Collection

LAB3483

HIT RFLX

Collect

One 5.0 mL gold or red top tube with gel (SST), clot activator serum.

Pediatric Collection

0.1 mL serum minimum volume for HIT ELISA. If Serotonin Release Assay is needed, an additional 0.5 mL serum is required. See above for transport requirements.

Unacceptable Conditions

Heparinized sample; non-serum sample; microbially contaminated or heat-inactivated samples; sample not properly identified; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature. Samples must be received in lab by 11:00 a.m. for same day testing.
Offsite: Centrifuge within 30 minutes of collection, place at least 0.5 mL of plasma into TWO separate aliquot containers and transport to lab frozen.

Stability (from collection to initiation)

Before centrifugation: Ambient, 1 hour

After centrifugation: Refrigerated, 48 hours

Serum aliquot: Ambient, 12 hours; Refrigerated, 48 hours; Frozen (-20 degrees C), 2-3 years.

Remarks

Samples with positive results will automatically be sent for Serotonin Release Assay testing.

Performed by

PCL Clinical Laboratory - Specials (Coagulation)

Ordering

Performed

Monday through Friday, day shift

Methodology

Qualitative ELISA; detects IgG antibodies that react to PF4-heparin complexes.

Reported

In 1-2 days

Synonyms

  • LAB3483
  • HIT ELISA
  • HIT RFLX
  • HEPARIN INDUCED THROMBOCYTOPENIA, ELISA
Result Interpretation

Reference Interval

NEGATIVE (O.D. <0.4)

Interpretive Data

This is a PF4 enhanced IgG ELISA assay.

Performed by

PCL Clinical Laboratory - Specials (Coagulation)

Administrative

CPT Codes

86022; If indicated by positive results, reflexes to Serotonin Release Assay 86022-59.

HEPATIC FUNCTION PANEL

LAB20

HEP FUNC

Collect

One 4.5 mL Green top tube with gel separator (PST).

Pediatric Collection

0.2 mL plasma.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Centrifuge within 2 hours of collection. Transport to laboratory at 2-8 degrees C.

 

Stability (from collection to initiation)

Ambient: 2 hours; Refrigerated: 2 days; Frozen (-20 degrees C, plasma aliquot): 1 year. Allow 1 freeze/thaw cycle.

 

Refer to individual component entries for specific stability guidelines.

Performed by

PCL Clinical Laboratory - Core

Notes

For laboratories to bill Medicare, each component of a panel must be medically necessary for the treatment or diagnosis of the patient. All tests listed may be ordered individually.

Performed

Daily

Methodology

Refer to individual components for methodology. Panel includes:Alb, Bili T, Bili D, Bili Ind, ALP, Prot Tot., ALT, AST.

Reported

Same day

Synonyms

  • LAB20
  • HEP FUNC
  • HFP

Reference Interval

Component

 

Ages

Normal Range

 

Mnemonic

Gender

From

To

Low

High

Units

ALB

M/F

0

1 month

2.8

4.2

g/dL

ALB

M/F

1 month

150 yrs

3.5

5.7

g/dL

ALP

M/F

0

150 yrs

39

117

U/L

ALT

M/F

0

150 yrs

7

52

U/L

AST

M/F

0

150 yrs

12

39

U/L

BILI DIR

M/F

0

150 yrs

0.0

0.2

mg/dL

BILI IND

M/F

0

150 yrs

0

1

mg/dL

BILI T

M/F

0

150 yrs

0.1

1.3

mg/dL

PROT TOT

M/F

0

150 yrs

6.4

8.9

g/dL

Performed by

PCL Clinical Laboratory - Core

CPT Codes

80076

Collection

LAB20

HEP FUNC

Collect

One 4.5 mL Green top tube with gel separator (PST).

Pediatric Collection

0.2 mL plasma.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Centrifuge within 2 hours of collection. Transport to laboratory at 2-8 degrees C.

 

Stability (from collection to initiation)

Ambient: 2 hours; Refrigerated: 2 days; Frozen (-20 degrees C, plasma aliquot): 1 year. Allow 1 freeze/thaw cycle.

 

Refer to individual component entries for specific stability guidelines.

Performed by

PCL Clinical Laboratory - Core

Notes

For laboratories to bill Medicare, each component of a panel must be medically necessary for the treatment or diagnosis of the patient. All tests listed may be ordered individually.

Ordering

Performed

Daily

Methodology

Refer to individual components for methodology. Panel includes:Alb, Bili T, Bili D, Bili Ind, ALP, Prot Tot., ALT, AST.

Reported

Same day

Synonyms

  • LAB20
  • HEP FUNC
  • HFP
Result Interpretation

Reference Interval

Component

 

Ages

Normal Range

 

Mnemonic

Gender

From

To

Low

High

Units

ALB

M/F

0

1 month

2.8

4.2

g/dL

ALB

M/F

1 month

150 yrs

3.5

5.7

g/dL

ALP

M/F

0

150 yrs

39

117

U/L

ALT

M/F

0

150 yrs

7

52

U/L

AST

M/F

0

150 yrs

12

39

U/L

BILI DIR

M/F

0

150 yrs

0.0

0.2

mg/dL

BILI IND

M/F

0

150 yrs

0

1

mg/dL

BILI T

M/F

0

150 yrs

0.1

1.3

mg/dL

PROT TOT

M/F

0

150 yrs

6.4

8.9

g/dL

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

80076

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