PANEL RENAL FUNCTION

General Information

HLAB/HOL Code: RFP
UPHSM LIS Test #: 399
Schedule: Daily
Testing Time: 1 Hour
Testing Lab: UP Health System-Marquette

Specimen Info
Only 1 specimen type required, unless otherwise specified

Volume: 1.0 mL plasma or serum
Temperature: Refrigerate
Tube Type: 1 Li Heparin Plasma Barrier Tube or 1 SST Tube
Collection Info:
Centrifuge an refrigerate specimen after collection.
Protect from sunlight.

CPT Codes

80069

* The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding
is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Reference Range

See Individual Test Listings

Component Info

Name: ALBUMIN PLASMA / SERUM
Method: Colorimetric
CPT Code: 82040
Ref Range: 0 - 5 days 2.6 - 3.6 g/dL6d - 3 yr. 3.4 - 4.24yr - 6 yr. 3.5 - 5.27yr - 19 yr. 3.7 - 5.620yr-127 yr. 3.5 -5.0
Comp Units:
Name: UREA NITROGEN PLASMA / SERUM
Method: Colorimetric
CPT Code: 84520
Ref Range: 0d - 1yr 2-14 mg/dL1y - 3y 5-173y - 13y 7-1713y - 127yr Male 9-20 mg/dL Female 7-17 mg/dL
Comp Units:
Name: BUN/CREATININE RATIO (CALCULATED)
Method:
CPT Code:
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Comp Units:
Name: CALCIUM PLASMA / SERUM
Method: Colormetric
CPT Code: 82310
Ref Range: 0d - 5d 7.9-10.7 mg/dL5d - 11yr 8.7-10.111yr - 19yr 8.8-10.719yr-127yr 8.4-10.2
Comp Units:
Name: CHLORIDE PLASMA / SERUM
Method: Potentiometric
CPT Code: 82435
Ref Range: 98 - 107 mmol/L
Comp Units:
Name: CREATININE PLASMA / SERUM
Method: Colorimetric
CPT Code: 82565
Ref Range: 0 D - 30 D 0.35 - 1.05 mg/dL 31D - 6 yr 0.25 - 0.65 7 yr - 12 yr 0.35 - .8513 yr - 16 yr 0.45 - 1.0516 yr - 127yr Male 0.66-1.25 mg/dL Female 0.52-1.04 mg/dL
Comp Units:
Name: EGFR AFRICAN AMERICAN
Method:
CPT Code:
Ref Range:
Comp Units:
Name: EGFR NON AFRICIAN AMERICAN
Method:
CPT Code:
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Comp Units:
Name: GLUCOSE PLASMA / SERUM
Method: Colorimetric
CPT Code: 82947
Ref Range: 0d - 30 d 55-115 mg/dL30d - 6m 57-1176m - 127yr 74-106
Comp Units:
Name: PHOSPHORUS PLASMA / SERUM
Method: Colorimetric
CPT Code: 84100
Ref Range: 0d - 3yr 4.6-6.7 mg/dL3y - 11y 3.7-5.611yr - 15yr 2.9-5.415yr - 19yr 2.8-4.619yr - 127yr 2.5-4.5
Comp Units:
Name: POTASSIUM PLASMA / SERUM
Method: Potentiometric
CPT Code: 84132
Ref Range: 0d - 1 yr 3.2-6.0 mmol/L1yr - 127yr 3.5-5.1 mmol/L
Comp Units:
Name: SODIUM PLASMA / SERUM
Method: Potentiometric
CPT Code: 84295
Ref Range: 0d - 7d 133-146 mmol/L7d - 30d 134-144 mmol/L30d - 12m 133-143 mmol/L12m - 127yr 137-145 mmol/L
Comp Units:
Name: CARBON DIOXIDE TOTAL PLASMA / SERUM
Method: Colorimetric
CPT Code: 82374
Ref Range: 0d - 7d 17-26 mmol/L7d - 30d 17-273m - 12m 17-2912m - 2yr 20-312yr - 127yr 22-30
Comp Units:
Name: ANION GAP
Method: CALCULATED
CPT Code:
Ref Range: 7 - 16
Comp Units: