Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

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

LACTATE

ORDERING INFORMATION:
Sunquest Test Code:
LAC      Geisinger Epic Procedure Code: 83605.04         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 at 1100-2000 x g for 10 minutes. 
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
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: 11/05/2018

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: Kelly Alleman    
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 Holy Spirit Hospital

Performing laboratory: ATL+
Technical specialist: Hadeel Naghnaghieh    
Frequency: Daily, all shifts    
Performed stat? Yes

Geisinger Jersey Shore Hospital

Performing laboratory: Chemistry
Technical specialist: Brenda Shuman-Johnson    
Frequency: Daily, all shifts    
Performed stat? Yes

Geisinger South Wilkes-Barre

Technical specialist: Bernadette Johnson    
Frequency: Daily, all shifts    
Performed stat? Yes
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*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