Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

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

LITHIUM-LEVEL

ORDERING INFORMATION:
Sunquest Test Code:
LITH      Geisinger Epic Procedure Code: 80178         Geisinger Epic ID: 6353

SPECIMEN COLLECTION
Specimen type:
Serum
Preferred collection container:
Specimen required:
2 mL aliquot of serum; minimum 0.5 mL.
Patient preparation:
Preferred specimen is 8 to 10 hours after oral dose.

SPECIMEN PROCESSING
Specimen processing instructions:
Allow to clot. Centrifuge at 1100-2000 x g for 10 minutes at room temperature. Specimen should be separated from cells within four (4) hours after collection. 
Transport temperature:
Refrigerated (preferred). Room temperature also acceptable.
Specimen stability:
Room temperature: 1 day. Refrigerated: 7 days. Frozen: 6 months.
Rejection criteria:
Stability limits exceeded. Lithium heparin plasma.

TEST DETAILS
Reference interval:
0.6 - 1.2 mmol/L.
Critical values/courtesy alerts:
Above 1.5 mmol/L.
CPT code(s):
80178
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:
Lithium level.
Methodology:
Spectrophotometric (Colorimetric)
Clinical significance:
Lithium is administered to control manic-depressive disorders and measured to monitor appropriate therapeutic ranges.
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: Automated Chemistry
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, Monday-Sunday    
Performed stat? Yes

Geisinger Community Medical Center

Performing laboratory: Chemistry
Technical Lead: Ann Mack, Deborah Dempsey  
Frequency: Daily    
Performed stat? Yes

Geisinger Holy Spirit Hospital

Performing laboratory: ATL+
Technical specialist: Hadeel Naghnaghieh    
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