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Test Code DIALRH PROFILE DIALYSIS ROUTINE, HOME CARE

Important Note

Tests included are: Albumin, Alkaline Phosphatase, AST, pre-dialysis BUN, Calcium, Chloride, CO2, Phosphorus, Sodium, Potassium, Anion Gap, and Magnesium.

When ordering a custom panel, Medicare requires the clinician confirm each test in the panel is medically necessary for the patient’s treatment. By regulation, annually we will send a physician acknowledgement letter to ordering clinicians requesting a signature attesting to medical necessity review.
 

Additional Codes

Primary ID Epic Code Atlas Code Mayo Access ID Order LOINC
DIALRH LAB3093 LAB3093 N/A N/A

Result Component(s)

Reporting Name Epic Code Atlas Code Mayo Access ID LOINC Code
Sodium 1230100005 NA N/A 2951-2
Potassium 12301002769 DKH N/A 2823-3
Chloride 1230100007 CL N/A 2075-0
CO2 1230100008 CO2 N/A 2028-9
BUN, Predialysis 12301002765 BUNPRE N/A 11065-0
Calcium 1230100011 CAL N/A 17861-6
Albumin 12301001839 ALB N/A 1751-7
Phosphorous 12301002108 PHOS N/A 2777-1
AST 12301001855 AST N/A 1920-8
Alkaline Phosphatase 12301001846 ALKP N/A 6768-6
Calcium Phos Product 12301001869 CALCPH N/A 50675-8
Magnesium 12301002067 MG N/A 19123-9
Anion Gap 1230100013 AGAP N/A 33037-3

 

Specimen Information

Container Specimen Temperature Collect Vol Submit Vol Min Vol Stability
SST Serum Refrigerate 4 mL 1.5 mL 1 mL 48 hours

 

Test Schedule / Analytical Time / Test Priority

Daily / 24 Hours / Not available STAT

Method

See individual tests.

CPT(s)

See individual tests.

Instrumentation

See individual tests.

Reference Range

See individual tests.

Section

Chemistry-1

Performing Location

University of Vermont Medical Center

Is the UVMMC lab NY State Certified to perform this testing?  Yes/No

Yes