Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

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

LACTATE WHOLE BLOOD

ORDERING INFORMATION:
Sunquest Test Code:
LACWB      Geisinger Epic Procedure Code: 83605.02         Geisinger Epic ID: 14366

SPECIMEN COLLECTION
Specimen type:
Whole Blood
Preferred collection container:
Alternate Collection Container:
3 mL green/black top lithium heparin tube
Specimen required:
1mL whole blood, minimum 0.4mL
Special notes:
Due to specimen instability, this test may only be collected and analyzed at the performing laboratory location (see Performing Locations, below).

SPECIMEN PROCESSING
Transport temperature:
Transport immediately. If delay in transport is anticipated, place specimen on an ice slurry. See note about specimen stability
Specimen stability:
30 minutes at room temperature, 1 hour on an ice slurry.
Rejection criteria:
Stability limits exceeded.

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:
Whole blood lactate.
Methodology:
Amperometric
Synonyms:
Lactic Acid, Whole Blood
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: 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

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