GESTATIONAL GLUCOSE TEST, 1HR

Message
Chemistry


Test Code
LAB879


Alias/See Also
1-Hour Post Prandial


CPT Codes
82950

Includes
Glucose


Preferred Specimen
Light green top tube (lithium heparin plasma)


Minimum Volume
Whole blood: 600 uL (one full light-green-top microtainer or two full red-top microtainers).

Serum/plasma: 300 uL plasma.



Other Acceptable Specimens
Gold or Red Top Acceptable


Instructions
Order as a screening test for diabetes in pregnancy only. LAB: Patient need not be fasting No baseline specimen is required. Dose requirement is 50 gram Dextrose (Glucose). Centrifuge and analyze promptly. Dilute grossly lipemic specimens. Separate specimens within 30 minutes of collection.


Specimen Stability
Ambient: up to 24 hours.
Refrigerated: 7 days.
Frozen: 1 year.


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolyzed, contaminated, not enough volume



FDA Status
Approved

Setup Schedule
Everyday


Report Available
Same day


Limitations
In fresh specimens, catalase released from the lysis of red blood cells causes a negative bias in glucose results. The degree of bias is proportional to the degree of hemolysis. In fresh samples, a negative bias of up to 10% may be observed with a level of hemolysis associated with a hemoglobin concentration of 250 mg/dL.


Reference Range
65 - 139 mg/dl Note: A glucose threshold value > 140 mg/dl identifies approximately 80% of women with gestational diabetes mellitus. The yield is increased to 90% by using a cutoff of > 130 mg/dl.


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.