LACTIC ACID

Test Code
LAB730


Alias/See Also
LACTATE


CPT Codes
83605

Preferred Specimen
Grey Top Tube


Instructions
Specimen must be transported on ice and received in the Lab within 30 minutes of collection.


Transport Container
Na/F Oxalate


Methodology
Enzymatic-Colorimetric

Setup Schedule
Set Up:Daily Report Available:1 day


Reference Range
LACTIC ACID 0.5 - 1.9 mmol/L


Clinical Significance
Anaerobic glycolysis markedly increases blood lactate and causes some increase in pyruvate levels, especially with prolonged exercise. The common cause for increased blood lactate and pyruvate is anoxia resulting from such conditions as shock, pneumonia and congestive heart failure. Lactic acidosis may also occur in renal failure and leukemia. Thiamine deficiency and diabetic ketoacidosis are associated with increased levels of lactate and pyruvate. Lactate levels in cerebrospinal fluid (CSF) are increased in bacterial meningitis. Increased CSF levels also occur in hypocapnia, hydrocephalus, brain abscesses, cerebral ischemia and any clinical condition associated with reduced oxygenation of the brain and/or increased intracranial pressure. Lactate measurements that evaluate the acid-base status are used in the diagnosis and treatment of lactic acidosis (abnormally high acidity in the blood).


Performing Laboratory
GBMC Chemistry



The CPT Codes provided in this document 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 payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.