Comprehensive Metabolic Panel
MessageThis test is for patients 30 days old or older. For patients < 30 days old, order N/CHEM, Chemistry Profile (Neo).
Test CodeCMP
Alias/See AlsoFor patients < 30 days old, order N/CHEM, Chemistry Profile (Neo).
CPT Codes 80053
IncludesSodium, Potassium, Chloride, Carbon Dioxide, Blood Urea Nitrogen, Creatinine, Glucose, Calcium, Alkaline Phosphatase, ALT (SGPT), AST (SGOT), Total Bilirubin, Total Protein, Albumin
Preferred Specimen
Minimum Volume0.5 mL
Other Acceptable SpecimensLithium Heparin Plasma (green top) tube
InstructionsProtect specimen from prolonged exposure to light to avoid a falsely decreaesd Total Bilirubin result. This test is for patients 30 days old or older. For patients < 30 days old, order N/CHEM, Chemistry Profile (Neo).
Transport ContainerSerum (gold top) tube or Lithium Heparin Plasma (green top) tube
Transport TemperatureRoom Temperature or Refrigeration
Specimen StabilityRoom Temperature - 4 hours; Refrigerated - 3 days; Do not freeze. Stabilities for individual tests will vary. Shortest stability times are listed. See individual tests for stability of each test.
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)Hemolysis, Quantity Not Sufficient, EDTA contamination (purple top tube), IV contamination
MethodologyColorimetric, Potentiometric
Setup Schedule
Report AvailableUpon completion of analysis
LimitationsProlonged exposure to light can cause breakdown of bilirubin in the specimen, resulting in a falsely decreased Total Bilirubin value. Heparinized catheters may contain benzalkonium chloride and should not be used for collection. Do not use specimens obtained through catheters used to infuse hyperalimentation fluid. Blood from patients receiving Hypaque radiographic contrast agent cannot be used due to interference with calcium testing. Do not use blood on patients receiving EDTA therapy. Suramin, an antiparasitic drug, has been reported to cause a bias of -10% in calcium results at a suramin concentration of 300 μg/mL. Calcium results from recumbent patients may be 3% lower. Ammonium ions may cause an increase in measured BUN/UREA value equivalent to the specimen’s nitrogen content. Albumin concentrations vary with posture. Results from an upright posture may be approximately 0.3 g/dL higher than those from a recumbent posture. A delay in centrifugation of several hours can result in a falsely increase potassium result and a falsely decreased glucose result, and may affect other tests as well. Prolonged exposure to light may result in a falsely decreased Total Bilirubin result. High bilirubin levels may affect some results.
Reference RangeSee report or individual tests for reference ranges.
Clinical SignificanceThe Comprehensive Metabolic Panel (CMP) is used as a broad screening tool to evaluate organ function and check for conditions such as diabetes, liver disease, and kidney disease. The CMP may also be ordered to monitor known conditions, such as hypertension, and to monitor people taking specific medications for any kidney- or liver-related side effects. The Comprehensive Metabolic Panel contains all tests in a Basic Metabolic Panel, plus liver enzymes and proteins. For patients < 30 days old, order N/CHEM, Chemistry Profile (Neo).
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.