12500:DIABETES WELLNESS ASSESSMENT PANEL
Author PeaceHealth Laboratories
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| Methodology: |
See Individual Components |
| Edit Date: |
6/11/2010 |
| Components: |
Lipid Panel / Glycohemoglobin (HGGA1C) / Random Urine Micro Albumin/Creatinine Ratio / Comprehensive Metabolic Panel. |
| Performed: |
Monday-Friday |
| Released: |
Same day |
| CPT Code: |
80053 / 80061 / 82043 / 82570 / 83036 |
| Specimen Collection Details |
| Collection: |
Patient should be fasting 8-16 hours. Three specimens needed: One 4 mL lavender top tube (EDTA), and one 7.5 mL serum separator tube (SST), and 25 mL random urine in a sterile container. Do not add preservatives to urine. |
| Handling: |
Lavender top tube: Refrigerate whole blood for up to 7 days. Serum separator tube (SST): Allow to clot, centrifuge and separate serum within 2 hours of collection. Refrigerate serum and transport within 4 days. Refrigerate urine. |
| Standard Volume: |
2 mL EDTA whole blood, 4 mL serum, and 25 mL urine. |
| Minimum Volume: |
2 mL EDTA whole blood, 2 mL serum, and 10 mL urine. |
| Transport: |
Refrigerated. |
| Rejection Criteria: |
Gross hemolysis. Urine contaminated with blood or containing preservatives.
MEDICARE MAY REQUIRE A SIGNED ADVANCE BENEFICIARY NOTICE (ABN) FOR THIS TEST |
| See individual components. |
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