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Test Code LAB2194 PROFILE MTX

Important Note

Tests included are:

Albumin (LAB45)

Alkaline Phosphatase (LAB112) 

ALT (LAB132) 

AST (LAB131)

Creatinine (LAB66)

Bilirubin, Direct/Indirect (LAB168)

Blood Count and Differential, Complete (LAB293)

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

If a Methotrexate Level is needed, a red top tube will need to be submitted to perform this testing.

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
LAB2194 METHO N/A N/A

 

Specimen Information

Container Specimen Temperature Collect Vol Submit Vol Min Vol Stability
SST Serum Refrigerate 4 mL 1 mL 0.5 mL 7 days
Lav Top (EDTA) Whole Blood Refrigerate 2.5 mL 2.5 mL 1.5 mL 7 days

Both samples are required.

Test Schedule / Analytical Time / Test Priority

Daily / 24 Hours / Not available STAT

Method

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

CPT Code(s)

See individual tests.