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Test Code PET PROFILE PERITONEAL DIALYSATE

Important Note

Tests included are: BUN, glucose and creatinine on peritoneal dialysate.

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

Mayo Access ID

PET

 LAB2092 N/A

 

Specimen Information

Container

Specimen

Temperature

Collect Vol

Submit Vol

Minimum Vol

 Stability
Sterile Container Dialysate

Refrigerate

 5 mL 5 mL 5 mL 5 days

 

Test Schedule / Analytical Time / Test Priority

Monday – Friday, 8 am-4:30 pm / 1 day / Not available STAT

Method

See Individual tests.

CPT(s)

See Individual tests.

Instrumentation

See Individual tests.

Reference Range

No established reference range.

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

Result Code Reporting Name LOINC Code
DUN Dialysate Urea N 5918-8
DGL Dialysate Glucose 2343-2
DCR Dialysate Creatinine in process