BASIC METABOLIC PANEL

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Update 2/12/2018 BASIC METABOLIC PANEL CPT 80048 Stability: 3 days at 15-25 C; 7 days at 2-8 C; > 7 days at -70 C Colorimetric Assay, Rate reaction, ISE Components: BUN, Calcium, Chloride, CO2, Creatinine, Glucose, Potassium, Sodium COMPREHENSIVE METABOLIC PANEL CPT 80053 Stability: 3 days at 15-25 C; 7 days at 2-8 C; > 7 days at -70 C Colorimetric Assay, Rate reaction, ISE Components: Albumin, Alkaline Phosphatase, ALT(SGPT), AST(SGOT), Bilirubin Total, BUN, Calcium, Chloride, CO2, Creatinine, Glucose, Potassium, Sodium ELECTROLYTE PANEL CPT 80051 (free from hemolysis) Stability: 7 days 15-25 C; 7 days 2-8 C; stable (-15)-(-25) C ISE Indirect Components: Chloride, CO2, Potassium, Sodium HEPATIC FUNCTION PANEL CPT 80076 Stability: 1 day at 15-25 C; 7 days at 2-8 C; 6 months at (-15)-(-25) C Components: Albumin, Alkaline Phos, ALT, AST, Bilirubin Direct, Bilirubin Total, Protein Total

LIPID PANEL CPT 80061 Stability: 7 days at 2-8 C; 30 days at 70 C Enzymatic colorimetric Components: Cholesterol, Triglycerides, HDL, LDL, LDL/HDL Ratio RENAL FUNCTION PANEL CPT 80069 Stability: 7 days at 15-25 C; 7 days at 2-8 C; 3 months at (-15)-(-25) C Components: Albumin, BUN, Calcium, Chloride, CO2, Creatinine, Glucose, Phosphorous, Potassium, Sodium ALBUMIN CPT 82040 Stability: 2.5 months at 15-25 C; 5 months at 2-8 C; 4 months at -20 C ALP (Alkaline Phos) CPT 84075 Stability: 7 days at 15-25 C; 7 days at 2-8 C; 2 months at (-15)-(-25) C ALT (Alanine Aminotransferase) CPT 84460 Stability: 3 days at 15-25 C; 7 days at 2-8 C; > 7 days at -70 C Rate reaction

AMMONIA CPT 82140 EDTA Plasma Stability: 20 to 30 minutes of venipuncture Enzymatic : Do not use plasma prepared with other anticoagulants. Do not use serum since ammonia can be generated during clotting. Collect blood from stasis-free vein of fasting patient. Smoking should be avoided prior to sampling. Tubes should be filled completely and kept tightly stoppered at all times. Place immediately on ice and centrifuge, preferably at 4 C. AMYLASE CPT 82150 Stability: 7 days at 15-25 C; 1 month at 2-8 C Enzymatic colorimetric assay AST CPT 84450 (free from hemolysis) Stability: 1 day at 15-25 C; 7 days at 2-8 C Rate reaction B12 (VITAMIN B12) CPT 82607 (fasting) Stability: Stable for 2 days at 2-8 C, 2 months at -20 C. Freeze once only. Protect from light. BILIRUBIN DIRECT CPT 82248 (free from hemolysis and lipemia) Stability: 2 days at 15-25 C; 7 days at 2-8 C; 6 months at (-15)-(-25) C

BILIRUBIN TOTAL CPT 82247 Stability: 1 day at 15-25 C; 7 days at 2-8 C; 6 months at (-15)-(-25) C BUN CPT 84520 Stability: 7 days at 15-25 C; 7 days at 2-8 C; 1 year at (-15)-(-25) C Rate reaction C-REACTIVE PROTEIN hs CPT 86141 Stability: 11 days at 15-25 C; 2 months at 2-8 C; 3 years at (-15)-(-25) C Turbidimetric assay CALCIUM CPT 82310 - Fresh serum collected in the fasting state Stability: 7 days at 15-25 C; 3 weeks at 2-8 C; 8 months at (-15)-(-25) C Colorimetric CBC W/AUTO DIFF CPT 85025 EDTA-Whole blood Stability: 24 hours at RT; 36 hours at 4 C Automated cell counter Tests include: WBC, RBC, HGB, HCT, MCV, MCH, MCHC, PLT, RDW, Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils, Neutrophils (%), Lymphocytes (%), Monocytes (%), Eosinophils (%), Basophils (%).

CBC W/RETIC CPT 85025; 85045 EDTA-Whole blood Stability: 24 hours at RT; 36 hours at 4 C Automated cell counter Tests include: WBC, RBC, HGB, HCT, MCV, MCH, MCHC, PLT, RDW, Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils, Neutrophils (%), Lymphocytes (%), Monocytes (%), Eosinophils (%), Basophils (%), Reticulocytes (%). CEA CPT 82378 Stability: 7 days at 2-8 C, 6 months at -20 C. CHLORIDE CPT 82435 (free from hemolysis) Stability: 7 days 15-25 C; 7 days 2-8 C; stable (-15)-(-25) C ISE Indirect Samples should be separated from the clot or cells promptly after collection. Grossly lipemic specimens should be cleared by ultracentrifugation or ultrafiltration. CHOLESTEROL CPT 82465 Seurm Stability: 7 days at 15-25 C; 7 days at 2-8 C; 3 months at (-15)-(-25) C Enzymatic, colorimetric method CO2 (Bicarbonate) CPT 82374 Stability: Several days at 2-8 C when separated from erythrocytes and stored tightly stoppered.

CORTISOL CPT 82533 Stability: 5 days at 2-8 C, 3 months at -20 C Freeze once only. CPK CPT 82550 (free from hemolysis) Stability: 2 days at 15-25 C; 7 days at 2-8 C; 4 weeks at (-15)-(-25) C Rate reaction CREATININE CPT 82565 (free from lipemia) Stability: 7 days at 15-25 C; 7 days at 2-8 C; 3 months at (-15)-(-25) C DIGOXIN CPT 80162 Stability: 2 days at 2-8 C, 6 months at -20 C Freeze once only. ESTRADIOL CPT 82670 Stability: 2 days at 2-8 C, 6 months at -20 C Freeze once only.

FERRITIN CPT 82728 Stability: 7 days at 2-8 C, 12 months at -20 C. FOB (Fecal Occult Blood) Hemosure CPT 82274QW Fecal Collection Tube Stability: 14 hours at 20-25 C, 6 months at 2-8 C, 1 year -20 C Sandwich dye immunoassay A specimen should not be collected from a patient with the following conditions that may interfere with test results: Menstrual bleeding, Bleeding hemorrhoids, Constipation bleeding, Urinary bleeding. FOLATE CPT 82746 (free from hemolysis) Stability: 2 hours at 20-25 C, 2 days at 2-8 C, 1 month at -20 C Protect from light. Store the samples at 2-8 C if they cannot be measured immediately. FREE PSA CPT 84153; 84154 Stability: 5 days at 2-8 C, 3 months at -20 C FREE T3 CPT 84481 Stability: 7 days at 2-8 C, 30 days at -20 C; Stability of serum obtained with tubes containing separating gel: 48 hours at 2-8 C

FREE T4 CPT 84439 Stability: 7 days at 2-8 C, 30 days at -20 C; Stability of serum obtained with tubes containing separating gel: 48 hours at 2-8 C FSH CPT 83001 Stability: 14 days at 2-8 C, 6 months at -20 C. ; Stability of serum obtained with separating tubes: 48 hours at 2-8 C GGT CPT 82977 Stability: 7 days at 15-25 C; 7 days at 2-8 C; 1 year at (-15)-(-25) C Enzymatic colorimetric assay GLUCOSE CPT 82947 Stability: 8 hours at 15-25 C; 72 hours at 2-8 C; 3 days at 15-25 C Enzymatic HCG-BETA CPT 84702 Stability: 3 days at 2-8 C, 12 months at -20 C Freeze only once

HCG-QUAL CPT 84703 Urine or Stability: 8 hours at 15-30 C, 2-8 C for up to 3 days Instant-View Pregnancy Combo Cassette Test HDL CPT 83718 Stability: 7 days at 2-8 C; 30 days at 70 C Enzymatic colorimetric assay H. pylori CPT 86677 Stability: 3 days (72hrs) at 2-8 C, QuickVue H.pylori gii HGB & HCT CPT 85018; 85014 EDTA-Whole blood Stability: 24 hours at RT; 36 hours at 4 C Automated cell counter HgB A1C CPT 83036 Whole blood - EDTA Stability: 3 days at 15-25 C; 7 days at 2-8 C; 6 months at (-15)-(-25) C Turbidimetric inhibition

IRON CPT 83540 (free from hemolysis) Stability: 7 days at 15-25 C; 3 weeks at 2-8 C; several years at (-15)-(-25) C FerroZine LDH CPT 83615 (free from hemolysis) Stability: 7 days at 15-25 C; 4 days at 2-8 C; 6 weeks at -20 C UV-assay LDL CPT 83721 Stability: 7 days at 2-8 C; 30 days at -70 C Enzymatic colorimetric assay LH CPT 83002 Stability: 14 days at 2-8 C, 6 months at -20 C Freeze only once LIPASE CPT 83690 (fresh serum in specimen of choice) Stability: 1 week at 15-25 C; 1 week at 2-8 C; 1 year at (-15)-(-25) C Enzymatic colorimetric test

MAGNESIUM CPT 83735 Stability: 3 days at 2-8 C; Prolonged storage -20 C ASI Color Mono II Test MONO CPT 86308 Stability: 7 days at 15-25 C; 7 days at 2-8 C; 1 year at (-15)-(-25) C Colorimetric PARATHYROID HORMONE CPT 83970 Stability: 8 hours at 15-25 C, 2 days at 2-8 C, 6 months at -20 C PARTIAL THROMBOPLASTIN TIME (PTT) CPT 85730 Sodium citrated anticoagulated blood. If multiple specimens are collected, the coagulation sample should be the first or second tube collected. Stability: 4 hours at RT; 2 weeks at -20 C; long term storage at -70 C. Clot detection PHOSPHOROUS CPT 84100 Stability: 24 hours at 15-25 C; 4 days at 2-8 C; 1 year at (-15)-(-25) C Colorimetric

POTASSIUM CPT 84132 (free from hemolysis) Stability: 14 days at 15-25 C; 14 days at 2-8 C; stable (-15)-(-25) C ISE Indirect Samples should be separated from the clot or cells promptly after collection. Grossly lipemic specimens should be cleared by ultracentrifugation or ultrafiltration. PREALBUMIN CPT 84134 Stability: 3 days at 2-8 C; 6 months at (-15)-(-25) C; indefinitely at -70 C Immunotrubidimetric assay PRO BNP CPT 83880 Stability: 3 days at 20-25 C, 6 days at 2-8 C, 24 months at -20 C PROTEIN (TOTAL) CPT 84155 Stability: 1 month at 2-8 C; 6 months at (-15)-(-25) C

PROTIME (PT) CPT 85610 Sodium citrated anticoagulated blood. If multiple specimens are collected, the coagulation sample should be the first or second tube collected. Stability: 24 hours at RT; 36 hours at 4 C; 2 weeks at -20 C; long term storage at -70 C. Clot detection PSA (FREE) CPT 84153; 84154 Stability: 5 days at 2-8 C, 3 months at -20 C PSA (TOTAL) CPT 84153; 84154 Stability: 5 days at 2-8 C, 6 months at -20 C RETICULOCYTES CPT 85045 EDTA-Whole blood Stability: 24 hours at RT; 36 hours at 4 C Automated cell counter SEDIMENTATION RATE, WESTERGREN (ESR) CPT 85651 EDTA anticoagulated whole blood Stability: 4 hours at RT; 24 hours at 4 C; do not freeze Sedimat 15

SHBG (FREE TESTOSTERONE) CPT 84270 Stability: 3 days at 2-8 C, 1 month at -20 C SODIUM CPT 84295 (free from hemolysis) Stability: 14 days at 15-25 C; 14 days at 2-8 C; stable (-15)-(-25) C ISE Indirect Samples should be separated from the clot or cells promptly after collection. Grossly lipemic specimens should be cleared by ultracentrifugation or ultrafiltration. TESTOSTERONE CPT 84403 Stability: 1 week at 2-8 C, 6 months at -20 C THYROXINE T4 CPT 84436 Stability: 7 days at 2-8 C, 1 month at -20 C TOTAL PROTEIN CPT 84155 Stability: 1 month at 2-8 C; 6 months at (-15)-(-25) C

TOTAL PSA CPT 84153; 84154 Stability: 5 days at 2-8 C, 6 months at -20 C TRIIODOTHYRONINE - T3 CPT 84480 Stability: 7 days at 2-8 C, 1 month at -20 C TRIGLYCERIDES CPT 84478 Stability: 5-7 days at 2-8 C; 3 months at (-15)-(-25) C; several years at (-60)-(-80) C Enzymatic colorimetric test TROPONIN T CPT 84484 Stability: Stable for 24 hours at 2-8 C, 12 months at -20 C TSH CPT 84443 Stability: 7 days at 2-8 C, 1 month at -20 C UIBC CPT 83550 (free from hemolysis and lipemia) Stability: 4 days at 15-25 C; 7 days at 2-8 C FerroZine

URIC ACID CPT 84550 Stability: 5 days at 2-8 C; 6 months at (-15)-(-25) C Enzymatic colorimetric test URINALYSIS CPT 81001 Fresh urine. A first morning specimen is preferred but random collections are acceptable. Stability: 2 hours at room temp; If testing is delayed (>2 hour after collection), specimen should be refrigerated (2 to 8 C) for preservation. Dip Stick and Microscopic Exam Tests include: Color, Clarity, Glucose, Bilirubin, Ketone, Specific Gravity, Occult Blood, ph, Protein, Urobilinogen, Nitrate, Leukocytes, Hyaline Casts, WBC, RBC, Crystals, Amorphous Phosphates, Epithelial Cells, Bacteria, and Mucus. URINE MICROSCOPIC CPT 81005 Fresh urine. A first morning specimen is preferred but random collections are acceptable. Stability: 2 hours at room temp; If testing is delayed (>2 hour after collection), specimen should be refrigerated (2 to 8 C) for preservation. Microscopic procedure VITAMIN D CPT 82306 Stability: 8 hours at 18-25 C, 4 days at 2-8 C, 24 weeks at -20 C