PARATHYROID HORMONE, INTRAOPERATIVE

Message
Chemistry


Test Code
LAB5210934


Alias/See Also
Parathyroid
PTH Intraop


CPT Codes
83970

Includes
Para thyroid Hormone


Preferred Specimen
EDTA plasma (Lavender tube)


Minimum Volume
Whole blood: 3 mL
Plasma: 1.5 mL


Instructions
Testing is scheduled in advance, O.R. responsible for notifying lab at least 24 hours before surgery and providing phone extension for notification of results. 
 
The collection tube label, in addition to the standard patient information, should include the date and time of draw, employee # and draw interval (i.e. Baseline, 30 min, 60 min, etc.) 
 
Due to the time critical nature of intraoperative testing each campus location has a designated PTH-Intraoperative workflow. 
 
Please order PTH Intraoperative Baseline [LAB5210595] first, then PTH intraoperative [LAB5210934]. Refer to SOP. 
 
Lab will place STAT PTH Intraoperative orders upon receipt of specimen and call results to phone extension provided. 
 


Specimen Stability
Plasma samples are stable at room temperature for ≤8 hours and may be stored for up to 2 days at 2–8 °C (36–46 °F) 


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimens not reccommended:
Turbid specimens. Turbidity in specimens may affect results.  
Hemolyzed specimens. 
 


Methodology
Hoag Irvine: Chemiluminescence 
Hoag Newport: Electrochemiluminescence 

Report Available
To be performed as soon as possible 


Limitations
Intact PTH is labile and susceptible to fragmentation. Correct handling of patient samples is necessary to ensure that the PTH molecule remains intact. The degree of fragmentation will depend on both time and temperature of storage. Test results from the same assay should be used when monitoring patients, and results should not be used interchangeably between assays. 


Reference Range
Hoag Irvine: 8-75 pg/mL 
Hoag Newport:15-65 pg/mL  


Performing Laboratory
HHI and HHN Laboratory



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.