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Lab Test Reference Manual
Human Reference Manual
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Lab Test Reference Manual
Human Reference Manual
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Executive Screen Panel
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Site Contents
Executive Screen Panel
Test Code: EXEC
Overview
Ordering
Specimen
Performing
Clinical/Interpretive
Contacts
Coding
Test Components
Test Components
Albumin, Alkaline Phosphatase, Alanine Amino Transferase, Aspartate Amino Transferase, Bicarbonate, Urea Nitrogen, Calcium, Chloride, Creatinine, Glucose, Potassium, Sodium, Total Bilirubin, Gamma Glutamyl Transferase, Lactate Dehydrogenase, Total Protein, Anion Gap, Uric Acid, Phosphorus, Cholesterol, Triglycerides, LDL Cholesterol, A/G ratio, BUN/Creat Ratio, TSH. (Note: LDL Cholesterol is only calculated and reported if an HDL is also ordered, and TRIG value is <= 400 mg/dL.)
Specimen Requirements
Specimen Requirements
Fasting Required
Specimen Type
Preferred Container/Tube
Acceptable Container/Tube
Specimen Volume
Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
No
Serum
Red Top Tube (RTT)
3.0 mL
1.0 mL
Collection Processing Instructions
Collection Processing
Centrifuge and remove serum from cells within one hour.
Test panel includes bilirubin which is light sensitive, minimize light exposure during storage/transport.
Specimen Stability Information
Specimen Stability Information
Specimen Type
Temperature
Time
Serum
Refrigerate
2 days
Rejection Criteria
Rejection Criteria
Grossly hemolyzed samples
Specimens not separated from cells <2 hours
Interference
Interference
Hemolyzed samples will falsely increase K and AST
Exposure to light will falsely decrease TBIL
Performing Laboratory Information
Performing Laboratory Information
Performing Location
Day(s) Test Performed
Analytical Time
Methodology/Instrumentation
Marshfield
Monday through Sunday
2-4 hours
See individual tests for methodology/Beckman DXC
Test Information
Test Information
Medicare patients must sign a waiver before specimen is collected since Medicare considers this a non-covered screening panel. Individual tests ordered for diagnostic purposes are covered.
Reference Range Information
Reference Range Information
Performing Location
Reference Range
Marshfield
See individual test listings for reference ranges
Outreach CPTs
Outreach CPT Codes
CPT
Modifier
(if needed)
Quantity
Description
Comments
80053
Metabolic panel, comprehensive
84443
TSH
82465
Cholesterol
82977
GGT
83615
LDH
84100
Phosphorus
84478
Triglyceride
84550
Uric Acid
Test Components
Test Components
Albumin, Alkaline Phosphatase, Alanine Amino Transferase, Aspartate Amino Transferase, Bicarbonate, Urea Nitrogen, Calcium, Chloride, Creatinine, Glucose, Potassium, Sodium, Total Bilirubin, Gamma Glutamyl Transferase, Lactate Dehydrogenase, Total Protein, Anion Gap, Uric Acid, Phosphorus, Cholesterol, Triglycerides, LDL Cholesterol, A/G ratio, BUN/Creat Ratio, TSH. (Note: LDL Cholesterol is only calculated and reported if an HDL is also ordered, and TRIG value is <= 400 mg/dL.)
Ordering Applications
Ordering Applications
Ordering Application
Description
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
Specimen Requirements
Fasting Required
Specimen Type
Preferred Container/Tube
Acceptable Container/Tube
Specimen Volume
Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
No
Serum
Red Top Tube (RTT)
3.0 mL
1.0 mL
Collection Processing
Collection Processing
Centrifuge and remove serum from cells within one hour.
Test panel includes bilirubin which is light sensitive, minimize light exposure during storage/transport.
Specimen Stability Information
Specimen Stability Information
Specimen Type
Temperature
Time
Serum
Refrigerate
2 days
Rejection Criteria
Rejection Criteria
Grossly hemolyzed samples
Specimens not separated from cells <2 hours
Interference
Interference
Hemolyzed samples will falsely increase K and AST
Exposure to light will falsely decrease TBIL
Test Components
Test Components
Albumin, Alkaline Phosphatase, Alanine Amino Transferase, Aspartate Amino Transferase, Bicarbonate, Urea Nitrogen, Calcium, Chloride, Creatinine, Glucose, Potassium, Sodium, Total Bilirubin, Gamma Glutamyl Transferase, Lactate Dehydrogenase, Total Protein, Anion Gap, Uric Acid, Phosphorus, Cholesterol, Triglycerides, LDL Cholesterol, A/G ratio, BUN/Creat Ratio, TSH. (Note: LDL Cholesterol is only calculated and reported if an HDL is also ordered, and TRIG value is <= 400 mg/dL.)
Reference Range Information
Reference Range Information
Performing Location
Reference Range
Marshfield
See individual test listings for reference ranges
For more information visit:
http://labtestsonline.org
Performing Laboratory Information
Performing Laboratory Information
Performing Location
Day(s) Test Performed
Analytical Time
Methodology/Instrumentation
Marshfield
Monday through Sunday
2-4 hours
See individual tests for methodology/Beckman DXC
For billing questions, see Contacts
Outreach CPTs
Outreach CPT Codes
CPT
Modifier
(if needed)
Quantity
Description
Comments
80053
Metabolic panel, comprehensive
84443
TSH
82465
Cholesterol
82977
GGT
83615
LDH
84100
Phosphorus
84478
Triglyceride
84550
Uric Acid
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For most current information refer to the Marshfield Laboratory online reference manual.