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Test Code Billings Clinic: 4723 Chemistry Profile Plus Lipids, TSH, and CBC

Important Note

This test is for Reference Patients Only

Performing Laboratory

Billings Clinic Laboratory: Chemistry

Useful For

Providing an overall picture of your body's chemical balance and metabolism and hematological picture.

Methodology

See individual test listings.

Specimen Requirements

EDTA whole blood and plasma are required for this test.

 

Blood for CBC

  • Specimen must arrive within 24 hours of draw.
  • Draw blood in a lavender-top (EDTA) tube(s), and send 4 mL of unprocessed EDTA whole blood refrigerated
  • Do not centrifuge.
  • Forward unprocessed whole blood promptly.
  • Label specimen appropriately (blood for CBC).

 

Plasma for All Other Tests

  • Draw blood in a green-top (lithium heparin) tube(s).
  • Patient must be fasting (12-14 hours preferred) with water only, no tea or coffee, and must not consume any alcohol for 24 hours prior to specimen being drawn.
  • Spin down, separate plasma from cells within 2 hours of draw.
  • Send 1 mL of heparinized plasma frozen in plastic vial.
  • Avoid exposure of specimen to atmosphere.
  • Label specimen appropriately (plasma for all other tests).
  • Patient’s age and sex are required on request form for processing.

Storage/Stability

Specimen Type Temperature Time
Plasma Refrigerated 2 days
EDTA Whole Blood Refrigerated 2 days

Reject Due To

Plasma

  • Hemolyzed
  • Grossly lipemic
  • Specimens received frozen

 

EDTA Whole Blood (CBC)

  • Clotted samples or those containing clots, fibrin strands, or platelet clumps.
  • Grossly hemolyzed samples
  • Samples drawn above an IV line
  • Specimens received frozen

Reference Values

See individual test listings.

Day(s) Test Set Up

Daily

Test Classification and CPT Coding

80053 - comprehensive metabolic panel

80061 - lipid panel

82977 - GGT

83540 - iron

83735 - magnesium

84100 - phosphorus

84443 - TSH

84550 - uric acid 

85025 - CBC with automated differential

 

Note for Ordering Health-Care Providers:  Please exercise judgement when placing orders. You may order individual tests or a less inclusive panel when not all of the tests included in the panel or profile are medically necessary for the individual patient.

LOINC Code Information

Reporting Name LOINC Code
ALT 1744-2
Albumin 61152-5
AST 1920-8
Bilirubin, Total 1975-2
Calcium, Total 17861-6
Carbon Dioxide, Total 2028-9
Chloride 2075-0
LDL Cholesterol 18262-6
Cholesterol, Total 2093-3
Creatinine 2160-0
GGT 2324-2
Glucose 2345-7
HDL Cholesterol 2085-9
Iron 2498-4
Magnesium 19123-9
Alkaline Phosphatase 6768-6
Phosphorus 2777-1
Potassium 2823-3
Protein, Total 2885-2
Sodium 2951-2
TSH 11579-0
Triglycerides 2571-8
Urea Nitrogen 3094-0
Uric Acid 3084-1

 

For CBC LOINC Codes, please see CBC in this catalog.

Profile/Testing Information

Profile Information:
Alanine Aminotransferase (ALT/SGPT) HDL Cholesterol
Albumin Iron
Aspartate Aminotransferase (AST/SGOT) Uric Acid
Bilirubin, Total Magnesium
Calcium, Total Phosphatase, Alkaline
Carbon Dioxide (CO2), Total Phosphorus
Chloride Potassium
Cholesterol, LDL (Calculation) Protein, Total
Cholesterol, Total Sodium
Complete Blood Count (CBC) With Automated Differential Thyroid-Stimulating Hormone (TSH)
Creatinine Triglycerides
Gamma-Glutamyltransferase (GGT) Urea Nitrogen (BUN)
Glucose  

Includes Billings Clinic: #4441 “Comprehensive Metabolic Panel” and Billings Clinic: #4115 “Lipid Panel.”