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5314: Renal Function Panel Print View
Albumin SP  3.6 - 5.1  g/dL 
Carbon Dioxide S  20 - 32  mmol/L 
Calcium SP  view ref range  mg/dL 
Chloride ISE  98 - 110  mmol/L 
Creatinine SP  view ref range  mg/dL 
Glomerular Filtration Rate CALC  > 59  mL/min/1.73m2 
Glucose S  65 - 99  mg/dL 
Phosphate(as Phosphorus) S  < 7 days: 4 - 9
< 3 years: 4 - 8
< 13 years: 3 - 6
< 65 years: 2.5 - 4.5
>= 65 years: 2.1 - 4.3 
mg/dL 
Potassium ISE  view ref range  mmol/L 
Sodium ISE  135 - 146  mmol/L 
Urea Nitrogen (BUN) S  view ref range  mg/dL 
BUN/Creatinine Ratio CALC  < 19 years: Call Client Services
>= 19 years: 6 - 25 
 

PRIMARY
1 Serum 1 (0.5) mL   Room Temperature - 72 Hour(s)/Refrigerated - 72 Hour(s)/Frozen - 28 Day(s)  
ALTERNATE

To avoid loss of bicarbonate do NOT aliquot the specimen. Submit
a spun SST for analysis. The patient should fast 10 - 16 hours
prior to collection of specimen. State patient's age and gender
on test requisition form. Do not open


Specimen Requirements: Serum collected in 1 full unopened
spun gel barrier tube.
Setup Schedule
Sunday-Saturday

Reported (Analytical Time)
Same day

CPT Code
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.

Notes
Reject Criteria: Unspun serum or plasma separator tube (SST(R) or PST); Red-top or green-top tube (serum or heparinize plasma not separated from cells); Anticoagulants other than lithium heparin, sodium heparin or flouride/oxalate






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For test information, please call Client Services at 800-421-4449.

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