Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

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

WHOLE BLOOD PROFILE, ARTERIAL

ORDERING INFORMATION:
Geisinger Epic Procedure Code: LAB3460         Geisinger Epic ID: 45109

SPECIMEN COLLECTION
Specimen type:
Whole blood
Preferred collection container:
Specimen required:
1 mL whole blood; minimum 0.4 mL.
Special notes:
Due to sample instability, this test may only be collected and analyzed at a performing laboratory site (see below). Expel excess air from syringe. Mix well immediately after collection.

SPECIMEN PROCESSING
Transport temperature:
Room temperature (only). Transport immediately. Do not refrigerate.
Specimen stability:
Stable 30 minutes at room temperature.
Rejection criteria:
Stability limits exceeded. Specimens containing large clots or air bubbles.

TEST DETAILS
Reference interval:
pH 7.350-7.450 units
pCO2 35-45 mmHg
pO2 75-100 mmHg
Bicarbonate 23-31 mmol/L
Base Excess (-2)-(+2) mmol/L
Hematocrit Male 40.0-48.4%
Female 36.0-45.2%
Hemoglobin Refer to individual listing.
Oxyhemoglobin 94-99% total Hgb
Carboxyhemoglobin 0-1.5% total Hgb (Smokers 0-9%)
Methemoglobin 0-1.5% total Hgb
Reduced Hgb 0-5% total Hgb
O2 content 15-24%
Glucose 0-31 days 45-90 mg/dL
>= 32 days 70-120 mg/dL
Calcium - ionized 0-17 years 1.22-1.37mmol/L
> 18 years 1.13-1.32 mmol/L
Sodium 135-146 mmol/L
Potassium 3.5-5.1 mmol/L
Chloride 98-107 mmol/L
Anion gap 7.0-15.0 mmol/L
Critical values/courtesy alerts:
pH below 7.2 or above 7.6
pO2 <= 50 mmHg
pCO2 above 55 mmHg
Potassium below 2.5 or above 6.5 mmol/L.
Glucose below 45, above 500.
Ionized calcium below 0.76, above 1.59.
Sodium below 120, above 155.
Hematocrit >=66%
Hemoglobin: Refer to individual listing.
Carboxyhemoglobin > 9.0%
CPT code(s):
82805, 82330, 82947, 84295, 84132, 82435, 85018, 82375, 83050
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:
pH, pCO2, pO2, Bicarbonate, Base Excess, Hematocrit, Hemoglobin, Oxyhemoglobin, Carboxyhemoglobin, Methemoglobin, Reduced Hgb, O2 content, Glucose, Calcium (ionized), Sodium, Potassium, Chloride, Anion Gap
Methodology:
Potentiometric
Amperometric
Optical
Synonyms:
WHOLE BLOOD PROFILE, ARTERIAL
WBPART
Clinical significance:
The whole blood profile contains arterial blood gas tests, electrolytes, H/H, glucose and ionized calcium. It combines to help diagnose perfusion abnormalities and metabolic abnormalities.
Doctoral Director(s:)
Hoi-Ying Elsie Yu, PhD, DABCC
Sheng-Ying (Margaret) Lo, PhD, DABCC    
Review Date: 12/14/2020

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 Shamokin Area Community Hospital

Performing laboratory: Chemistry
Technical Lead: Valerie Koveleski    
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 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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