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Test Code LAB2177 PROFILE ER CARDIAC PACK

Important Note

For emergency department use only.

Tests included are: CBC with differential, BUN, Creatinine, Electrolytes, Glucose Screening, Troponin I, Magnesium and a blue top to hold for possible testing.

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

Epic Code

Atlas Code

Mayo Access ID
LAB2177 N/A N/A

 

Specimen Information

Container

Specimen

Temp

Collect Vol

Submit Vol

Min Vol

Stability
Blue Top Tube Plasma Ambient To fill line To fill line To fill line  
Serum Separator Tube Serum Refrigerate 4 mL 1.5 mL 1.5 mL 48 hours
Lithium Heparin (Green) Tube Plasma Refrigerate 4 mL 1.5 mL 1.5 mL 48 hours
Lavender (EDTA) Tube 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

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

LOINC Code Information

See individual tests.