NT-PRO BNP

Message
Chemistry


Test Code
LAB5210589


Alias/See Also
Pro BNP


CPT Codes
83880

Includes
N-Terminal Pro b-Type natriuretic Peptide


Preferred Specimen
Light green top tube (lithium heparin plasma)


Minimum Volume
Whole blood: 700 uL (one full light-green-top microtainer or two full red-top microtainers).

Serum/plasma: 300 uL.


Other Acceptable Specimens
Gold top (serum separator tube) or Red Top


Instructions
LAB: BNP testing is performed on plasma.



Specimen Stability
Ambient: 24 hours.
Refrigerated: 4 days.
Frozen: 26 weeks.


FDA Status
Approved

Setup Schedule
Everyday


Report Available
Same day


Reference Range
Include Normal (age, male, female) and Linearity ranges:
Comment (0-21 years):
              Clinical performance and reference ranges have not been established for this patient population.
 
Comment (22-49 years):
For ED patients with dyspnea and clinical suspicion of heart failure:
NT-proBNP (pg/mL) Interpretation
<300 Negative: Heart failure unlikely
300 - 449 Indeterminate: Consider other causes of  NT-proBNP elevation
≥450 Positive: Heart failure likely
For outpatients with clinical suspicion of heart failure:
NT-proBNP (pg/mL) Interpretation
<125 Negative: Heart failure unlikely
≥125 Consider heart failure as well as other causes of  NT-proBNP elevation
 
Comment (50-74 years):
For ED patients with dyspnea and clinical suspicion of heart failure:
NT-proBNP (pg/mL) Interpretation
<300 Negative: Heart failure unlikely
300 - 899 Indeterminate: Consider other causes of  NT-proBNP elevation
≥900 Positive: Heart failure likely
 
For outpatients with clinical suspicion of heart failure:
NT-proBNP (pg/mL) Interpretation
<125 Negative: Heart failure unlikely
≥125 Consider heart failure as well as other causes of  NT-proBNP elevation
Comment (75+ years):
For ED patients with dyspnea and clinical suspicion of heart failure:
NT-proBNP (pg/mL) Interpretation
<300 Negative: Heart failure unlikely
300 – 1799 Indeterminate: Consider other causes of  NT-proBNP elevation
≥1800 Positive: Heart failure likely
 
For outpatients with clinical suspicion of heart failure:
NT-proBNP (pg/mL) Interpretation
<125 Negative: Heart failure unlikely
≥125 Consider heart failure as well as other causes of  NT-proBNP elevation
   
Comment (>110 years old):
For ED patients with dyspnea and clinical suspicion of heart failure:
NT-proBNP (pg/mL) Patient age (years)* Interpretation
< 300 ≥ 22 Negative: Heart failure unlikely
300 - 449 22 - 49 Indeterminate: Consider other causes of  NT-proBNP elevation
300 - 899 50 - 74
300 - 1799 ≥ 75
≥ 450 22 - 49 Positive: Heart failure likely
≥ 900 50 - 74
≥ 1800 ≥ 75
 
For outpatients ≥ 22 years old* with clinical suspicion of heart failure:
NT-proBNP (pg/mL) Interpretation
< 125 Negative: Heart failure unlikely
≥ 125 Consider heart failure as well as other causes of  NT-proBNP elevation


Performing Laboratory
Hoag Newport/ Hoag Irvine



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.