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Test Code HP Health Panel

Methodology

Profile Information:

Alanine Aminotransferase (ALT/SGPT) Chloride
Albumin Complete Blood Count (CBC), With Automated Differential (Outreach Clients Only)
Alkaline Phosphatase Creatinine with Glomerular Filtration Rate (GFR)
Aspartate Aminotransferase (AST/SGOT) Glucose
Bilirubin, Total Potassium 
Blood Urea Nitrogen (BUN) Protein, Total  
Calcium Sodium
Carbon Dioxide, Total (CO2) Thyroid-Stimulating Hormone (TSH)

Performing Laboratory

Aspen Valley Hospital

Physician Office Specimen Requirements

Blood, plasma, and serum are required for this test.

 

Blood for CBC

Specimen must arrive within ≤24 hours of draw.

 

Container/Tube:  Lavender-top (EDTA) tube(s) - No other anticoagulant is acceptable.

Specimen:  5 mL (minimum volume: 0.5 mL) of EDTA whole blood

Transport temperature:  Ambient

Collection Instructions:  Invert 8 times to mix blood.

 

Plasma for Albumin; Alkaline Phosphatase; ALT/SGPT; AST/SGOT; Bilirubin, Total; BUN; Calcium; Chloride; CO2; Creatinine with GFR; Glucose; Potassium; Protein, Total; and Sodium

Container/Tube:  Light green-top (lithium heparin gel) tube(s)

Specimen:  2 mL (minimum volume:  1 mL) of lithium heparin plasma
Transport Temperature:  Ambient
Collection Instructions:  Spin down immediately and send entire tube to laboratory. If there is a delay in transport of >8 hours, send specimen refrigerated.

Note:  1. Indicate plasma on request form.
2. Label specimen appropriately (plasma).

 

Serum for TSH
Container/Tube:
  Gold-top serum gel tube(s)

Specimen:  2 mL (minimum volume:  1 mL) of serum
Transport Temperature:  Ambient

Collection Instructions:  Allow specimen to clot for approximately 10 minutes and spin down. If drawing gold-top serum gel tube, send entire tube to laboratory.  If there is a delay in transport of >48 hours, send specimen frozen.

Note:  1. Indicate serum on request form.
2. Label specimen appropriately (serum).

Reference Values

See individual test listings.

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

80050

Note:  Due to Medicare regulations #HP “Health Panel” cannot be ordered on patients ≥65 years. The component tests may be ordered individually, but appropriate medical necessity must be furnished for each component test for Medicare billing.