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HelpTest Code 200R Comprehensive Metabolic Panel with Reflex to Hemoglobin A1c
Additional Codes
ALAB: 200R
PowerChart: Not applicable
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
Specimen Requirement
Comprehensive Metabolic Panel:
0.5 mL serum or plasma is required.
Hemoglobin A1c:
3 mL whole blood is required.
Pediatric: 0.1 mL capillary whole blood is required.
Additional Specimen Collection Information
Comprehensive Metabolic Panel:
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.
Hemoglobin A1c:
Collect blood in an EDTA purple-top whole blood is preferrd. Lithium heparin green-top whole blood is also acceptable.
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:
| 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 |
ALT: 11-54 IU/L
AST: 11-41 IU/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