Geisinger Medical Laboratories Test Catalog

Order Display Name: Geisinger Epic Procedure Code Or ID CPT Code:  

ELECTROLYTES, WHOLE BLOOD

Geisinger Epic Procedure Code: LAB2213             Geisinger Epic ID: 14216
       

SPECIMEN COLLECTION
Specimen type:
Whole blood
Preferred collection container:
Alternate Collection Container:
3 mL green/black top lithium heparin tube
Specimen required:
1 mL whole blood; minimum 0.5 mL.
Special notes:
Due to sample instability, this test may only be collected and analyzed at performing laboratory site.

SPECIMEN PROCESSING
Transport temperature:
Room temperature. Do not refrigerate.
Specimen stability:
Stable 1 hour at room temperature.
Rejection criteria:
Stability limits exceeded.

TEST DETAILS
Reference interval:
Sodium - whole blood: 135-146 mmol/L
Potassium - whole blood: 3.5-5.1 mmol/L
Chloride - whole blood: 98-107 mmol/L
Bicarbonate 23-31 mmol/L
Anion gap 7.0-15.0 mmol/L
Critical values/courtesy alerts:
Sodium: Below 120, above 155 mmol/L
Potassium: Below 2.5, above 6.5 mmol/L
CPT code(s):
84132, 84295, 82435
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.  The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.
Test includes:
Sodium - whole blood, potassium - whole blood, chloride - whole blood, bicarbonate, anion gap.
Methodology:
Potentiometric
Synonyms:
Lytes, LYTES
Electrolytes
Clinical significance:
Electrolytes (sodium, potassium, chloride) levels are affected by how much is taken in through the diet, the level of hydration, and the amount of electrolytes excreted by the kidneys. They are also affected by compounds such as aldosterone, a hormone that conserves sodium and increases the loss of potassium and natriuretic peptides, which increase renal losses of sodium.
Doctoral Director(s:)
Hoi-Ying Elsie Yu, PhD, DABCC, FADLM
Sheng-Ying (Margaret) Lo, PhD, DABCC    
Review Date: 12/14/2022

Performing Locations

Geisinger Medical Center

Performing laboratory: Stat Lab
Technical Lead: Karen Delp
Frequency: Daily, Monday-Sunday
Performed STAT? Yes

Geisinger Wyoming Valley Medical Center

Performing laboratory: ATL+
Technical Lead: Danielle Mostowski    
Frequency: Daily, all shifts    
Performed STAT? Yes

Geisinger Shamokin Area Community Hospital

Performing laboratory: Chemistry
Technical Lead: Valerie Koveleski    
Frequency: Daily, all shifts    
Performed STAT? Yes

Geisinger Bloomsburg Hospital

Performing laboratory: Chemistry
Technical Lead: Robyn Stokes  
Frequency: Daily    
Performed STAT? Yes

Geisinger Community Medical Center

Performing laboratory: Chemistry
Technical Lead: Ann Mack, Deborah Dempsey  
Frequency: Daily all shifts    
Performed STAT? Yes

Geisinger Lewistown Hospital

Performing laboratory: Chemistry
Technical Lead: Jane Kifer  
Frequency: All shifts    
Performed STAT? Yes

Geisinger Jersey Shore Hospital

Performing laboratory: Chemistry
Technical lead: Emily Haines    
Frequency: Daily, all shifts    
Performed STAT? Yes

Geisinger South Wilkes-Barre

Technical lead: Bernadette Johnson    
Frequency: Daily, all shifts    
Performed STAT? Yes
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