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22762 Peritoneal Equilibration Test

Peritoneal Equilibration Test
Test Code: HD-PDF
Synonyms/Keywords
Hemodialysis PDF, Glu/Creat/UreaN​
Test Components
Glucose, Creatinine, and Urea Nitrogen​
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 Peritoneal dialysis fluid ​
Sterile Container
Sage Cup
No Additive Waste Tube​
 ​ 5 mL​ 0.5 mL​ ​
Collection Processing Instructions
Peritoneal dialysis fluid should be collected with no preservative, obtained at 0, 2, and 4 hours after infusion of the fluid.​
Specimen Stability Information
Specimen Type Temperature Time
Peritoneal Dialysis Fluid ​ ​ ​ Ambient 8 hours
​Refrigerate ​2 days
​Frozen ​2 months
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield​ Monday through Sunday​ Less than 2 hours​ Hexokinase, Modified Jaffe , & Urease GLDH Rate Assay/Beckman AU
Reference Range Information
Performing Location Reference Range
Marshfield ​ Interpretive report​
Interpretation
Calculations provided in separate report to assess the efficiency of the dialysis procedure.​
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
82947  ​ ​ ​ Glucose​ ​
82570​ ​ ​ Creatinine-PD Fluid ​ ​
84520​ ​ ​ Urea nitrogen  ​ ​
Synonyms/Keywords
Hemodialysis PDF, Glu/Creat/UreaN​
Test Components
Glucose, Creatinine, and Urea Nitrogen​
Ordering Applications
Ordering Application Description
​Centricity ​Hemodi PDF, Glu/Creat
​Cerner Hemodialysis PDF, Glu/Creat​
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
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 Peritoneal dialysis fluid ​
Sterile Container
Sage Cup
No Additive Waste Tube​
 ​ 5 mL​ 0.5 mL​ ​
Collection Processing
Peritoneal dialysis fluid should be collected with no preservative, obtained at 0, 2, and 4 hours after infusion of the fluid.​
Specimen Stability Information
Specimen Type Temperature Time
Peritoneal Dialysis Fluid ​ ​ ​ Ambient 8 hours
​Refrigerate ​2 days
​Frozen ​2 months
Test Components
Glucose, Creatinine, and Urea Nitrogen​
Reference Range Information
Performing Location Reference Range
Marshfield ​ Interpretive report​
Interpretation
Calculations provided in separate report to assess the efficiency of the dialysis procedure.​
For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield​ Monday through Sunday​ Less than 2 hours​ Hexokinase, Modified Jaffe , & Urease GLDH Rate Assay/Beckman AU
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
82947  ​ ​ ​ Glucose​ ​
82570​ ​ ​ Creatinine-PD Fluid ​ ​
84520​ ​ ​ Urea nitrogen  ​ ​
For most current information refer to the Marshfield Laboratory online reference manual.