CREATININE with eGFR

Test Code
LAB66


CPT Codes
82565

Includes
Creatinine and estimated glomerular filtration rate (eGFR)


Preferred Specimen
One 4.5 mL Light Green top tube
Pediatric: One light green top microtainer


Other Acceptable Specimens
Dark Green top, Red top,or Gold top tube 


Instructions
Sample must be centrifuged within two hours of collection. 


Transport Temperature
Refrigerated


Specimen Stability
Centrifuge within 2 hours of collection  
Ambient: 7 days   Refrigerated: 7 days   Frozen: 3 months
 


Methodology
Alkaline Picrate-Kinetic

Setup Schedule
Sunday-Saturday


Reference Range
Age Sex Reference Range (mg/dl)
0 days-12 months Female 0.20-0.45
1-5 years Female 0.20-0.50
6-10 years Female 0.25-0.60
11-15 years Female 0.35-0.85
≥ 16 years Female 0.60-1.05
0 days- 12 months Male 0.20-0.45
1-5 years Male 0.20-0.50
6-10 years Male 0.25-0.60
11-14 years Male 0.35-0.85
≥ 15 years Male 0.75-1.35


Clinical Significance
Interpretive Information
The eGFR is calculated based on the Modification of Diet in Renal Disease (MDRD) study equation:
eGFR = 186 x (SCr) -1.154 x (Age, years)-0.203 x 0.742(if female) x 1.210(if African American)

The eGFR estimates kidney function and is used to determine a patient’s stage of chronic kidney disease based on National Kidney
Foundation guidelines:
    • Stage 1 comprises patients who have kidney damage but a normal eGFR (90 or higher).
    • Stage 2 comprises patients with a mild reduction in eGFR (60 to 89).
    • Stage 3 consists of a moderate eGFR reduction (30 to 59).
    • Stage 4 consists of a severe eGFR reduction (15 to 29).
    • Stage 5 consists of kidney failure, marked by eGFR <15.
Note: eGFR is not calculated for children <18 years old. For these patients, the Bedside Schwartz calculation is preferred; a calculator is
available on the NKF website.


Performing Laboratory
West Virginia University Hospital, Inc.
Bluefield Pavilion Campus
Berkeley Medical Center
Barnesville Hospital
Braxton County Memorial
Camden Clark Medical Center
Camden Clark Medical Center
Fairmont Medical Center
Garrett Regional Medical Center
Harrison Community Hospital
Jackson General Hospital
Jefferson Medical Center
Princeton Community Hospital
Potomac Valley Hospital
Reynolds Memorial Hospital
Summersville Regional Medical Center
St. Joseph’s Hospital
United Hospital Center
Uniontown Hospital
Wetzel County Hospital
Wheeling Hospital




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.