Geisinger Medical Laboratories Test Catalog

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

URIC ACID, RASBURICASE USER

Geisinger Epic Procedure Code: LAB3218             Geisinger Epic ID: 41921
       

SPECIMEN COLLECTION
Specimen type:
Plasma
Preferred collection container:
Specimen required:
2 mL of plasma; minimum 0.2 mL.
Special notes:
Place tube directly into an ice slurry. See processing instructions below.
Patient preparation:
None.

SPECIMEN PROCESSING
Specimen processing instructions:
Centrifuge (cold, if possible) to separate plasma immediately. Place centrifuged specimen on ice and assay immediately.
For off-campus labs or non-testing performing sites: Centrifuge, remove plasma, and freeze plasma immediately. Testing sites must perform testing as soon as frozen plasma is thawed. Thoroughly mix thawed plasma prior to testing. 
Transport temperature:
Frozen.
Specimen stability:
Refrigerated: 7 days. Frozen: 6 months.
Rejection criteria:
Stability limits exceeded.

TEST DETAILS
Reference interval:
Female: 2.4-5.7 mg/dL; Male: 3.4-7.0 mg/dL
CPT code(s):
84550
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:
Uric acid.
Methodology:
Spectrophotometric (Colorimetric)
Synonyms:
URICTX
Clinical significance:
In patient who has tumor lysis syndrome, rasburicase may be used to manage the elevation of uric acid. Keeping the specimen cold will prevent breakdown of uric acid by rasburicase ex vivo. This allows for more accurate measurement of the uric acid level in vivo.
Doctoral Director(s:)
Hoi-Ying Elsie Yu, PhD, DABCC, FADLM
Sheng-Ying (Margaret) Lo, PhD, DABCC    
Review Date: 10/16/2023

Performing Locations

Geisinger Medical Center

Performing laboratory: Automated Chemistry
Technical Lead: Megan Woodruff
Frequency: Daily, all shifts
Performed STAT? Yes

Geisinger Wyoming Valley Medical Center

Performing laboratory: ATL+
Technical Lead: Danielle Mostowski    
Frequency: Daily, all shifts    
Performed STAT? No

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: Daily    
Performed STAT? Yes
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