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LACTIC ACID REFLEXIVE TEST FOR SEPSIS CORE MEASURES
MessageUsed for baseline testing in septic patients, when core measures for repeat testing apply.
Test Code
LAB1237164
CPT Codes
83605
Includes
When "Lactic Acid with Reflex" (LAB1237164) is ordered, a baseline lactic acid level will be measured.
If the baseline lactic acid is >2.0 mmol/L, a follow-up lacticacid test will be automatically ordered, with a collect time 2 hours in the future.
If the baseline lactic acid is < 2.0 mmol/L, no reflexive follow-up test will be ordered. Any additional testing would be ordered by the care team.
If the baseline lactic acid is >2.0 mmol/L, a follow-up lacticacid test will be automatically ordered, with a collect time 2 hours in the future.
If the baseline lactic acid is < 2.0 mmol/L, no reflexive follow-up test will be ordered. Any additional testing would be ordered by the care team.
Preferred Specimen
One 4 mL gray top tube on ice
Pediatric Volume: One gray top microtainer on ice.
Pediatric Volume: One gray top microtainer on ice.
Instructions
Sample should be immediately placed on ice after collection and transported to the lab without delay. Sample must be centrifuged immediately after collection. Serum/Plasma must be removed from the red cells and put inot aliquot tubes following centrifugation.
Transport Temperature
On Ice
Specimen Stability
Unstable, transport to lab ASAP
Ambient: Unstable Refrigerated: 3 days Frozen: 3 days
Ambient: Unstable Refrigerated: 3 days Frozen: 3 days
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimens not received on ice and/or with gross hemolysis.
Methodology
Lactate to Pyruvate
Setup Schedule
Sunday- Saturday
Reference Range
Reference Interval: 0.5-2.2 mmol/L
Critical level:≥4.0 mmol/L
Critical level:≥4.0 mmol/L
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
