Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

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

LACTATE

ORDERING INFORMATION:
Geisinger Epic Procedure Code: LAB2581         Geisinger Epic ID: 14364

SPECIMEN COLLECTION
Specimen type:
Plasma
Preferred collection container:
Specimen required:
2 mL of plasma; minimum 0.5 mL.
Special notes:
Draw without patient clenching fist. Specimen should be centrifuged as soon as possible for best result. See specimen stability for other details.
Patient preparation:
Do not clench fist.

SPECIMEN PROCESSING
Specimen processing instructions:
Centrifuge to separate plasma. 
Transport temperature:
Refrigerated.
Specimen stability:
Unspun Specimen: Room temperature or on ice: 8 hours.
Aliquoted Plasma: Room temperature: 8 hours. Refrigerated: 14 days.
Rejection criteria:
Stability limits exceeded. Incorrect collection tube.

TEST DETAILS
Reference interval:
0.4-2.0 mmol/L.
Critical values/courtesy alerts:
Above 4 mmol/L.
CPT code(s):
83605
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:
Lactic acid level.
Methodology:
Spectrophotometric (Colorimetric)
Synonyms:
Lactic acid, LAC
Clinical significance:
The common cause for increased blood lactate is anoxia resulting from such conditions as shock, pneumonia, and congestive heart failure. Lactic acidosis may also occur in renal failure and leukemia. Increased lactate may also be an early indicator of bacterial sepsis.
Doctoral Director(s:)
Hoi-Ying Elsie Yu, PhD, DABCC
Sheng-Ying (Margaret) Lo, PhD, DABCC    
Review Date: 12/24/2020

Performing Locations

Geisinger Medical Center

Performing laboratory: Stat Lab
Technical Lead: Mariana Moyer, Jared Shepherd
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 Shamokin Area Community Hospital

Performing laboratory: Chemistry
Technical Lead: Anthony Cole    
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    
Performed stat? Yes

Geisinger Lewistown Hospital

Performing laboratory: Chemistry
Technical Lead: Melissa Forsythe  
Frequency: All shifts    
Performed stat? Yes

Geisinger Jersey Shore Hospital

Performing laboratory: Chemistry
Technical lead: Brenda Shuman-Johnson    
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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