Test Code CMAMA Comprehensive Metabolic Panel, Serum
Reporting Name
Comprehensive Metabolic Panel, SPerforming Laboratory
Mayo Clinic Laboratories in RochesterUseful For
Routine health monitoring
Patient monitoring while hospitalized for information regarding metabolism, including the current kidney status, electrolyte and acid/base balance, and blood glucose
Method Name
KS, NAS, CL: Potentiometric, Indirect Ion-Selective Electrode
HCO3: Photometric/Enzymatic
AGAP: Calculation
BUN: Photometric, Urease
CRTS1: Enzymatic Colorimetric Assay
CA: Photometric,
GLURA: Enzymatic Photometric Assay
TP: Colorimetric, Biuret
ALB: Photometric, Bromcresol Green
AST: Photometric Rate, L-Aspartate with Pyridoxyl-5-Phosphate
ALP: Colorimetric
ALT: Photometric Rate, L-Alanine with Pyridoxal-5-Phosphate
BILIT: Photometric, Diazonium Salt
Shipping Instructions
Ship specimen protected from light.
Necessary Information
Patient's age and sex are required.
Specimen Required
Supplies: Amber Frosted Tube, 5 mL (T915)
Collection Container/Tube:
Preferred: Serum gel
Acceptable: Red top
Submission Container/Tube: Amber vial
Specimen Volume: 0.6 mL
Collection Instructions:
1. Serum gel tubes should be centrifuged and protected from light within 2 hours of collection.
2. Red-top tubes should be centrifuged, and the serum aliquoted into an amber vial within 2 hours of collection.
Specimen Type
SerumSpecimen Minimum Volume
0.5 mL
Specimen Stability Information
Specimen Type | Temperature | Time | Special Container |
---|---|---|---|
Serum | Refrigerated | 24 hours |
Reject Due To
Gross hemolysis | Reject |
Gross lipemia | OK |
Reference Values
SODIUM
<1 year: Not established
≥1 year: 135-145 mmol/L
POTASSIUM
<1 year: Not established
≥1 year: 3.6-5.2 mmol/L
CHLORIDE
1-17 years: 102-112 mmol/L
≥18 years: 98-107 mmol/L
Reference values have not been established for patients who are younger than 12 months of age.
BICARBONATE
Males
12-24 months: 17-25 mmol/L
3 years: 18-26 mmol/L
4-5 years: 19-27 mmol/L
6-7 years: 20-28 mmol/L
8-17 years: 21-29 mmol/L
≥18 years: 22-29 mmol/L
Females
1-3 years: 18-25 mmol/L
4-5 years: 19-26 mmol/L
6-7 years: 20-27 mmol/L
8-9 years: 21-28 mmol/L
≥10 years: 22-29 mmol/L
Reference values have not been established for patients that are younger than 12 months of age.
ANION GAP
≥7 years: 7-15
Reference values have not been established for patients who are younger than 7 years of age.
BLOOD UREA NITROGEN (BUN)
Males
1-17 years: 7-20 mg/dL
≥18 years: 8-24 mg/dL
Reference values have not been established for patients who are younger than 12 months of age.
Females
1-17 years: 7-20 mg/dL
≥18 years: 6-21 mg/dL
Reference values have not been established for patients who are younger than 12 months of age
CREATININE
Males:
0-11 months: 0.17-0.42 mg/dL
1-5 years: 0.19-0.49 mg/dL
6-10 years: 0.26-0.61 mg/dL
11-14 years: 0.35-0.86 mg/dL
≥15 years: 0.74-1.35 mg/dL
Females:
0-11 months: 0.17-0.42 mg/dL
1-5 years: 0.19-0.49 mg/dL
6-10 years: 0.26-0.61 mg/dL
11-15 years: 0.35-0.86 mg/dL
≥16 years: 0.59-1.04 mg/dL
ESTIMATED GLOMERULAR FILTRATION RATE (eGFR)
≥ 18 years old: ≥60 mL/min/BSA
Estimated GFR calculated using the 2021 CKD_EPI creatinine equation.
Note: eGFR results will not be calculated for patients younger than 18 years old.
CALCIUM
<1 year: 8.7-11.0 mg/dL
1-17 years: 9.3-10.6 mg/dL
18-59 years: 8.6-10.0 mg/dL
60-90 years: 8.8-10.2 mg/dL
>90 years: 8.2-9.6 mg/dL
GLUCOSE
0-11 months: Not established
≥1 year: 70-140 mg/dL
TOTAL PROTEIN
≥1 year: 6.3-7.9 g/dL
Reference values have not been established for patients who are younger than 12 months of age.
ALBUMIN
≥12 months: 3.5-5.0 g/dL
Reference values have not been established for patients who are younger than 12 months of age.
ASPARTATE AMINOTRANSFERASE (AST)
Males:
0-11 months: Not established
1-13 years: 8-60 U/L
≥14 years: 8-48 U/L
Females:
0-11 months: Not established
1-13 years: 8-50 U/L
≥14 years: 8-43 U/L
ALKALINE PHOSPHATASE (ALP)
Males
0-14 days: 83-248 U/L
15 days-<1 year: 122-469 U/L
1-<10 years: 142-335 U/L
10-<13 years: 129-417 U/L
13-<15 years: 116-468 U/L
15-<17 years: 82-331 U/L
17-<19 years: 55-149 U/L
≥19 years: 40-129 U/L
Females
0-14 days: 83-248 U/L
15 days-<1 year: 122-469 U/L
1-<10 years: 142-335 U/L
10-<13 years: 129-417 U/L
13-<15 years: 57-254 U/L
15-<17 years: 50-117 U/L
≥17 years: 35-104 U/L
ALANINE AMINOTRANSFERASE (ALT)
Males:
≥1 year: 7-55 U/L
Reference values have not been established for patients who are younger than 12 months of age.
Females:
≥1 year: 7-45 U/L
Reference values have not been established for patients who are younger than 12 months of age.
TOTAL BILIRUBIN
0-6 days: Refer to www.bilitool.org for information on age-specific (postnatal hour of life) serum bilirubin values.
7-14 days: 0.0-14.9 mg/dL
15 days to 17 years: 0.0-1.0 mg/dL
>18 years 0.0-1.2 mg/dL
Interpretation
Comprehensive metabolic panel results are usually evaluated in conjunction with each other for patterns of results. The pattern of abnormal results can help identify the possible conditions or diseases present. Many conditions will cause abnormal results including kidney failure, breathing problems, and diabetes-related complications.
Day(s) Performed
Monday through Sunday
Report Available
Same day/1 to 2 daysTest Classification
This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.CPT Code Information
KS-84132
NAS-84295
CL-82435
HCO3-82374
BUN-84520
CRTS1-82565
CA-82310
GLURA-82947
TP-84155
ALB-82040
AST-84450
ALP-84075
ALT-84460
BILIT-82247
LOINC Code Information
Test ID | Test Order Name | Order LOINC Value |
---|---|---|
CMAMA | Comprehensive Metabolic Panel, S | 24323-8 |
Result ID | Test Result Name | Result LOINC Value |
---|---|---|
AGAP | Anion Gap | 33037-3 |
ALB | Albumin, S | 1751-7 |
ALP | Alkaline Phosphatase, S | 6768-6 |
ALT | Alanine Aminotransferase (ALT), S | 1743-4 |
AST | Aspartate Aminotransferase (AST), S | 30239-8 |
BILIT | Bilirubin Total, S | 1975-2 |
BUN | Bld Urea Nitrog (BUN), S | 3094-0 |
CL | Chloride, S | 2075-0 |
GLURA | Glucose, Random, S | 2345-7 |
HCO3 | Bicarbonate, S | 1963-8 |
TP | Protein, Total, S | 2885-2 |
CA | Calcium, Total, S | 17861-6 |
NAS | Sodium, S | 2951-2 |
KS | Potassium, S | 2823-3 |
CRTSA | Creatinine, S | 2160-0 |
EGFR1 | Estimated GFR (eGFR) | 98979-8 |
Profile Information
Test ID | Reporting Name | Available Separately | Always Performed |
---|---|---|---|
KS | Potassium, S | Yes | Yes |
NAS | Sodium, S | Yes | Yes |
CL | Chloride, S | Yes | Yes |
HCO3 | Bicarbonate, S | Yes | Yes |
AGAP | Anion Gap | No | Yes |
BUN | Bld Urea Nitrog (BUN), S | Yes | Yes |
CRTS1 | Creatinine with eGFR, S | Yes | Yes |
CA | Calcium, Total, S | Yes | Yes |
GLURA | Glucose, Random, S | Yes | Yes |
TP | Protein, Total, S | Yes | Yes |
ALB | Albumin, S | Yes | Yes |
AST | Aspartate Aminotransferase (AST), S | Yes | Yes |
ALP | Alkaline Phosphatase, S | Yes | Yes |
ALT | Alanine Aminotransferase (ALT), S | Yes | Yes |
BILIT | Bilirubin Total, S | Yes | Yes |