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Test Code LAB4920 KIDNEY PROFILE

Important Note

This test requires the provider to choose ONE of the following (each contains a creatinine w/ eGFR):

LAB4068 Creatinine and GFR

LAB4021 Basic Metabolic Panel

LAB4181 Renal Profile

LAB4060 Comprehensive Metabolic Panel

Additional Codes

LAB4068

LAB4021

LAB4181

LAB4060

Specimen Type

Preferred Sample: Lithium Heparin Tube (Mint Green Top, Dark Green Top)
Alternate Sample: Serum (SST, Gold, Corvac, Tiger, Red Top Tube)

Specimen Volume

2 mL

Minimum Volume

0.5 mL

Turnaround Time

STAT: 1 hour

Routine: 4 hours

Test Schedule

Daily

Sample Stability

Room Temp: 1 day

Refrigerated: 3 days

Frozen: 30 days

Method

Colorimetric, Enzymatic, ISE

Reference Ranges

Glucose mg/dL  
       0-2 days full term  40 - 90 mg/dL
       2 days to 1 month 60 - 105 mg/dL
       Adults 65 - 99 mg/dL
       Pregnant  65 - 94 mg/dL
   
BUN mg/dL       
       0 to 15 Days < 24 mg/dL
       15 Days to 1 Year < 18 mg/dL
       1 to 10 Years 9.0 - 22.1 mg/dL
       Male 10 to 19 Years 7.3 - 21.0 mg/dL
       Female 10 to 19 Years 7.3 - 19.0 mg/dL
       Male 19 to 50 Years 8.9 - 20.6 mg/dL
       Female 19 to 50 Years 7.0 - 18.7 mg/dL
       Male > 50 Years 8.4 - 25.7 mg/dL
       Female > 50 Years 9.8 - 20.1 mg/dL
   
Creatinine mg/dL  
        0 to 28 Days      0.3 - 1.0 mg/dL
        29 Days to 1 Year   0.2 - 0.4 mg/dL
        1 Years to 11 Years   0.3 - 0.7 mg/dL
        12 Years to 18 Years  0.5 - 1.0 mg/dL
        > 18 Years  (Male) 0.5 - 1.3 mg/dL
        > 18 Years (Female )  0.4 - 1.0 mg/dL
   
Calcium mg/dL     
      0 to <1 Year     8.6 - 11 mg/dL
     1 to <19 Years    9.3 - 10.6mg/dl
      > 19 Years       8.5-10.2 mg/dL
   
Total Protien g/dL  
         0 to 15 days  5.3 - 8.3 g/dL
         15 days to 1 year     4.4 - 7.1 g/dL
         1 to 6 years 6.1 - 7.5 g/dL
         6 to 9 years      6.4 - 7.7 g/dL
         9 to 19 years     6.5 - 8.1 g/dL 
         >19 years 6.4 - 8.3 g/dL
   
Albumin g/dL  
         0 to 4 days 2.9-4.6 g/dL
         4 days to 14 years 3.9-5.6 g/dL
         14 to 18  yrs  3.3-4.7 g/dL
         18 to 60 yrs 3.5-5.0 g/dL
          60 to 90 yrs  3.3-4.8 g/dL
          >90 yrs 3.0-4.7 g/dL
   
Globulin g/dL         1.8-3.5 g/dL
   
A/G Ratio            1.0-2.7
   
Bilirubin, Total mg/dL  
        0 to 30 days     less than 11.7 mg/dL
        1 mo to 18 years   less than 2.0 mg/dL
        18 to 60 yrs    0.1 - 1.5 mg/dL 
         60 to 90 yrs       0.2 - 1.1 mg/dL
         >90 years           0.2 - 0.9 mg/dL
   
Alkaline Phosphatase U/L  
         0 to 6 years   72-307 U/L
         7 to 9  years    133-340 U/L
         Male 10 to 13 yrs 103-429 U/L
         Male 14 to 15 yrs  103-249 U/L
         Male 16 to 18 yrs   49-210 U/L
         Male >19  yrs     35-115 U/L
         Female 10 to 13 yrs   99-453 U/L
         Female 14 to 15 yrs  53-186 U/L
         Female 16 to 18 yrs  38-110 U/L
         Female >19 yrs     35-115 U/L
   
ALT (SGPT) U/L             
Infant (<12M) 13-45 U/L
1 to 3 years 5-45 U/L
4 to 6 years 10-25 U/L
7 to 9 years 10-35 U/L
Female 10 to 11 years 10-30 U/L
Male 10 to 11 years 10-35 U/L
Female 12 to 13 years 10-30 U/L
Male 12 to 13 years 10-55 U/L
Female 14 to 15 years 5-30 U/L
Male 14 to 15 years 10-45 U/L
Adult 10-65 U/L
   
AST (SGOT) U/L  
          0 to 6 yrs    20-60 U/L
          6 to 10 yrs  20-40 U/L
         10 to 18 yrs  14-40 U/L
          >18 yrs   10-45 U/L
   
Sodium  mmol/L  
          0 to 28 days        133-146 mmol/L
          28 days to 2 yrs 139-146 mmol/L
           2 to 18 yrs           138-145 mmol/L
           18 to 90  yrs            136-145 mmol/L         
           >90 yrs 132-146 mmol/L
   
Potassium mmol/L  
         0 to 28 days       3.7-5.9  mmol/L
         28 days to 2 yrs       4.1-5.3 mmol/L
         2 to 18 yrs        3.4-4.7 mmol/L
         >18 yrs  3.5-5.1 mmol/L
   
Chloride  mmol/L  
         0 to 10 days        96-110 mmol/L
         11 days to 1 yrs    98-106 mmol/L
         1 to 17 yrs 102-112 mmol/L
         Adult       99-109 mmol/L
   
CO2 mmol/L  
 0 to 1 Month 18-25 mmol/L
 1 Month to Adult 23-33 mmol/L
Critical    <10 or >44 mmol/L
   
Anion Gap mmol/L   5-16 mmol/L
   
Phosphorus, mg/dL
  Male Female
0-15 Days       5.6 - 10.5
15 Days - 1 Year       4.8 - 8.4
1-5 Years       4.3 - 6.8
5-13 Years       4.1 - 5.9
13-16 Years 3.5 - 6.2 3.2 - 5.5
16-19 Years       2.9 - 5.0
>19 Years       2.5 - 4.5

Estimated Glomerular mL/min/1.73m2 Filtration Rate

Less than 60: Chronic kidney disease, if found over a 3 month period

Less than 15: Kidney failure

Synonyms

COMP, CMP, BMP, CREAT, RFP, Renal function panel

Test Components

The following test components may be included, depending on which test is requested:

Glucose, mg/dL

BUN, mg/dL

Creatinine, mg/dL

BUN/Creatinine Ratio,

Calcium, mg/dL

Sodium, mmol/L

Potassium, mmol/L

Chloride, mmol/L

CO2, mmol/L

Anion Gap, mmol/L

Estimated Glomerular Filtration Rate, mL/min/1.73m2;

Total Protein, g/dL

Albumin, g/dL

Globulin, g/dL

A/G Ratio

Bilirubin,Total , mg/dL;

Alkaline Phosphatase, U/L;

ALT (SGPT), U/L

AST (SGPT), U/L

Phosphorus, mg/dL

CPT Codes

82565 (Creatinine and GFR)

80048 (Basic Metabolic Panel)

80069 (Renal Profile)

80053 (Comprehensive Metabolic Panel)

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