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Specimen Collection Manual and Test Catalog

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PROCALCITONIN

Geisinger Epic Procedure Code:  LAB2920    Geisinger Epic ID:  48115

SPECIMEN COLLECTION
Specimen type: 

Plasma (preferred) or serum


Preferred collection container: 
Alternate collection container: 
3.5 mL gold-top (serum separator) tube
Specimen required: 

0.5 mL plasma (preferred) or serum


Special notes: 

See Specimen Processing Instructions.


Patient preparation: 

Samples should not be taken from patients receiving therapy with high biotin doses (i.e. >5 mg/day) until at least 8 hours following the last biotin administration.



SPECIMEN PROCESSING
Processing instructions: 

Centrifuge 10 minutes at 3000 rpm. Centrifuge within 30 minutes of collection.


Transport temperature: 

Refrigerated.


Specimen stability: 

Room temperature: 24 hours. Refrigerated: 48 hours. Frozen: 3 months. Freeze and thaw only once.


Rejection criteria: 

Stability limit exceeded.



TEST DETAILS
Reference interval: 

Healthy individuals <0.1 ng/mL


Interpretation guide: 

<0.5 ng/mL: Low risk for progression to sepsis. Review patient’s condition for localized infections. 
0.5 – 2.0 ng/mL: Intermediate risk for progression to sepsis. Review underlying conditions. Recommend repeat PCT measurement after 6 hours has elapsed.
>2.0 ng/mL: High risk for progression to sepsis unless other causes are known.


CPT code(s):  84145
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: 

Procalcitonin


Methodology: 
Electrochemiluminescence Immunoassay
Synonyms: 

PCT, PROCAL


Clinical significance: 

Procalcitonin is secreted in response to proinflammatory stimulation, particularly bacterial stimulation. PCT can be an important marker enabling specific differentiation between bacterial infection and other causes of inflammatory reactions. It is useful for antibiotic stewardship.


Doctoral Director(s): 
Hoi-Ying Elsie Yu, PhD, DABCC, FADLM
Sheng-Ying (Margaret) Lo, PhD, DABCC
Review Date:  12/27/2024

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