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Test Code 200 Comprehensive Metabolic Panel

Additional Codes

ALAB: CMP

PowerChart: Comprehensive Metabolic Panel

MA Cerner: Comprehensive Metabolic Panel

Test Method

MercyOne: Beckman DxC700AU

  • Albumin: Bromcresol Purple Timed Endpoint
  • Alkaline Phosphatase: Enzymatic Rate
  • ALT: Enzymatic Rate; L-Alanine And A-Ketoglutarate To Pyruvate And L-Glutamate
  • AST: Enzymatic Rate
  • Bilirubin, Total: Timed Endpoint Diazo
  • BUN: Enzymatic-Conductivity Rate
  • Calcium: Ion Specific Electrode
  • Creatinine: Jaffe Rate
  • Glucose: Timed Endpoint
  • Sodium: Ion Exchange
  • Potassium: Ion Specific Electrode
  • Chloride: Ag/AgCl Electrode
  • CO2: Rate of pH Change, CO2 Electrodes
  • Protein, Total: Timed Endpoint Biuret Method

MA: Roche Cobas 6000

  • Albumin: Enzymatic Colorimetric Method
  • Alkaline Phosphatase: Enzymatic Colorimetric Method
  • ALT: Enzymatic Rate Method
  • AST: Enzymatic Rate Method
  • Bilirubin, Total: Colorimetric Diazo Method
  • BUN: Enzymatic Rate Method
  • Calcium: Enzymatic Endpoint Method
  • Creatinine: Kinetic Colorometric Method
  • Glucose: Enzymatic Colorimetric Method
  • Sodium: Ion-Selective Electrode (ISE) Method
  • Potassium: Ion-Selective Electrode (ISE) Method
  • Chloride: Ion-Selective Electrode (ISE) Method
  • CO2: Enzymatic Rate Method
  • Protein, Total: Turbidimetric Method

Specimen Requirement

0.5 mL serum or plasma is required.

Additional Specimen Collection Information

Collect blood in a lithium heparin, green-top or red-top tube from a fasting patient. (12 hour fast is recommended.) PST and SST (gel tubes) are acceptable. Serum or plasma should be separated from contact with the cells within 2 hours of collection. Specimens not centrifuged within 4 hours of collection may be rejected. Refrigerate the specimen if unable to assay within 8 hours of collection. Hemolyzed specimens are not acceptable. Samples with >3+ lipemia must be cleared prior to analysis. Protect from light.

Performance

Testing is performed Monday through Sunday.

Routine orders: Typically completed within 4 hours after the specimen arrives at the testing site.

Expedite orders: Typically completed within 1 hour after the specimen arrives at the testing site.

STAT orders: Typically completed within 30 minutes after the specimen arrives at the testing site.

Reference Values

Albumin: 3.5-5.2 gm/dL

Alkaline Phosphatase:
MercyOne

Age Female Male
0 - 14 days 77 - 237 IU/L 77 - 237 IU/L
15 days  -  < 1 yr 116 - 450 IU/L 116 - 450 IU/L
1 - < 10 yrs 135 - 320 IU/L 135 - 320 IU/L
10 - < 13 yrs 122 - 400 IU/L 122 - 400 IU/L
13 - < 15 yrs 52 - 243 IU/L 109 - 449 IU/L
15 - < 17 yrs 46 - 110 IU/L 77 - 317 IU/L
17 - < 19 yrs 41 - 82 IU/L 50 - 142 IU/L
 > 19 yrs 30 - 107 IU/L 30 - 107 IU/L

 

Medical Associates

Age Female Male
0 to 14 days 83-248 U/L 83-248 U/L
15 days to < 1yr 122-469 U/L 122-469 U/L
1 to <10 yrs 142-335 U/L 142-335 U/L
10 to <13 yrs 129-417 U/L 129-417 U/L
13 to <15 yrs 57- 254 U/L 116-468 U/L
15 to <17 yrs 50-117 U/L 82-331 U/L
17 to <19 yrs 45-87 U/L 55-149 U/L
19 and older 35-104 U/L 40-129 U/L

 

ALT:

MercyOne
11-54 IU/L

Medical Associates
Males: 0-41 U/L
Females: 0-33 U/L
 

AST:

MercyOne:
11-41 U/L

Medical Associates
Males: 0-50 U/L
Females: 0-35 U/L

Bilirubin, Total:

Adult: 0.3-1.2 mg/dl

Infant:

  • Premature: values in premature infants may be higher than in full term infants and may reach peak concentrations at later times.
  • Full term infant:
    • Birth-1 day:  ≤ 5.7 mg/dl
    • 1-3 days:  ≤ 8.1 mg/dl
    • 3 - 5 days: ≤ 11.6 mg/dl
  • critical value (infant < 1 month): ≥16.0 mg/dl

BUN: 10 - 26 mg/dL
 

Calcium: 8.5-10.5 mg/dL

  • Critical values:
    • Low: < 6.0 mg/dL
    • High: > 13.0 mg/dL

Glucose:  70 - 99 mg/dL

  • Critical values:

    • Low: < 50 mg/dL
    • High: > 450 mg/dL

Creatinine: 0.4 - 1.4 mg/dL

eGFR (calculated): ≥ 60 mL/min/1.73m2
eGFR-AA (calculated): ≥60 mL/min/1.73m2
 

Sodium: 135 - 145 meq/L

  • Critical values:
    •  low:  < 120 meq/L
    •  high: > 160 meq/L

Potassium: 3.5 - 5.0 meq/L

  • Critical values:
    •  low: < 3.0 meq/L
    •  high:  > 6.0 meq/L

Chloride: 100 - 108 meq/L
 

CO2: 22 - 32 meq/L

  • Critical values:
    • Low: < 10.0 meq/L
    • High: > 40.0 meq/L

Anion gap: (calculated value:  7-16 meq/L)
 

Protein, Total:

≥ 12 years (adult): 6.4-8.3 gm/dL

Cord blood: 4.0-8.0 gm/dL

Newborn: 4.6-7.0 gm/dL

1 week - 7 months: 4.4-7.6 gm/dL

7 months - 1 yr: 5.1-7.3 gm/dL

1 - 3 years: 5.6-7.5 gm/dL

3 - 12 years: 6.0-8.0 gm/dL

CPT Code Information

80053 Multi-test Laboratory Panels; Comprehensive metabolic panel

Useful For

See individual constituents.

LOINC Code Information

24323-8 Comprehensive Metabolic 2000 Panel-Serum or Plasma

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