Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Test Name: Sunquest Test Code Epic Procedure Code Or ID CPT Code:  

CORD BLOOD, VENOUS (BLOOD GAS)

ORDERING INFORMATION:
Sunquest Test Code:
BGCV      Geisinger Epic Procedure Code: 82803.09         Geisinger Epic ID: 37252

SPECIMEN COLLECTION
Specimen type:
Whole blood
Preferred collection container:
Specimen required:
1 mL whole blood; minimum 0.4 mL.
Special notes:
Expel excess air from syringe. Mix well immediately after collection. Due to sample instability, this test may only be collected and analyzed at a performing laboratory site (see below).

SPECIMEN PROCESSING
Transport temperature:
Room temperature (preferred). Transport immediately. If delay in transport is anticipated, place specimen on an ice slurry.
Specimen stability:
Stable 30 minutes at room temperature, 1 hour on an ice slurry.
Rejection criteria:
Stability limits exceeded (greater than 30 minutes at room temperature) or greater than 1 hour from time of collection when on ice slurry), specimens containing large clots or air bubbles.

TEST DETAILS
Reference interval:
pH, 7.30 - 7.40; pCO2, 32 - 44; pO2, 23 - 35; Base deficit 2 to 6
Critical values/courtesy alerts:
GWV only: pH < 7.100. Base deficit > 12.
CPT code(s):
82803
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:
Cord Blood pH, pCO2, pO2, base excess (calculated)
Methodology:
Potentiometric
Synonyms:
Cord blood
Clinical significance:
Cord blood gases are typically drawn from the umbilicus during delivery to document oxygenation status of the newborn during delivery. Acidosis (pH less than 7.1 in an arterial cord blood gas) may indicate blood flow and hence oxygenation from mother to newborn may have been occluded during delivery.

The Umbilical Artery is where the baby's venous circulation dumps unoxygenated blood. This is blood that was on its way back to the mom's heart and lungs to pick up oxygen. Thus, when you draw a cord gas you will want to draw from one of the two Umbilical Arteries.

Blood from the Umbilical Artery is called a Cord Arterial Blood Gas (BGCA), and basically shows how the baby was doing prior to birth.

Occasionally both arterial and venous cord blood specimens may be drawn to judge the difference in acidosis coming from fetal and maternal sources.
Doctoral Director(s:)
Hoi-Ying Elsie Yu, PhD, DABCC
Sheng-Ying (Margaret) Lo, PhD, DABCC    
Review Date: 11/05/2018

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: Sarah McGowan    
Frequency: Daily, all shifts    
Performed stat? Yes

Geisinger Bloomsburg Hospital

Performing laboratory: Chemistry
Technical Lead: Robyn Stokes  
Frequency: Daily, all shifts    
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: Melissa Forsythe  
Frequency: All shifts    
Performed stat? Yes

Geisinger Holy Spirit Hospital

Performing laboratory: ATL+
Technical specialist: Hadeel Naghnaghieh    
Frequency: Daily, all shifts    
Performed stat? Yes
Locations  |    Search  |    Site Map |   Contact Us
©2000-2019 Geisinger Health System.   All rights reserved.
*GMC - Geisinger Medical Center; GWV - Geisinger Wyoming Valley Medical Center; GSACH - Geisinger Shamokin Area Community Hospital; GBH - Geisinger Bloomsburg Hospital;
GCMC - Geisinger Community Medical Center (Scranton); GLH - Geisinger Lewistown Hospital; GHS - Geisinger Holy Spirit; GJSH - Geisinger Jersey Shore Hospital,
GSWB - Geisinger South Wilkes-Barre