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Test Code LAB2177 PROFILE ER CARDIAC PACK

Important Note

For Emergency Department Use Only.

Tests included are:

Blood Count and Differential, Complete (LAB293)

BUN (LAB140)

Creatinine (LAB66)

Electrolytes (LAB16)

Glucose (LAB82)

Troponin I (LAB747)

Magnesium (LAB103)

Cardiac Panel Hold Blue  

Tests subject to Medicare Local Medical Review Policy. See individual tests.

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

Orderable Codes:

Epic Code Atlas Code Mayo Access ID Order LOINC
LAB2177 N/A N/A N/A

 

 

Specimen Information

Container Specimen Temperature Collect Vol Submit Vol Min Vol Stability
Blue Top Tube Plasma Ambient To fill line To fill line To fill line  
SST Serum Refrigerate 4 mL 1.5 mL 1.5 mL 48 hours
Lithium Hep (green top) Plasma Refrigerate 4 mL 1.5 mL 1.5 mL 48 hours
Lav Top (EDTA)  Whole Blood* Refrigerate 2.5 mL 2.5 mL 1.5 mL 2 days

All 4 sample containers are necessary for testing. *Mix lavender top tube gently 5-10 times.

Test Schedule / Analytical Time / Test Priority

Daily / 24 Hours / Available STAT

Method

See individual testsm

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

CPT Code(s)

See individual tests.