Chem 14 (Comprehensive Metabolic Panel)

Test Code

CHEM14

Alias/See Also

CMP, Chem Panel

CPT Codes
80053

Includes

Sodium, S/P Potassium, S/P Chloride, S/P CO2 Content, S/P ANION GAP Calcium, S/P Glucose, S/P Urea Nitrogen (BUN),S/P Creatinine,P/S GFR-1 if non-African American GFR-2 if African American GFR-3 Comment Urea N/Creatinine Ratio Bilirubin, Total, Serum Protein,Total,S/P Albumin,S/P Globulin,S/P Alkaline Phosphatase,S/P AST(SGOT),S/P ALT(SGPT),S/P

Preferred Specimen

3.5 mL Lithium Heparin (mint top tube)
2 Mircotainer Plain, age range: 1 day -< 1 year

Minimum Volume

1 mL S/P

Other Acceptable Specimens

Serum red top tube

Specimen Stability

Room temperature: 24 hours
Refrigerated: 7 days
Frozen: 3 months

Reference Range

Test: SODIUM, S/P
Male/Female All Ages: Normal Range: 136-145 mmol/L Critical Low : <=120 mmol/L Critical High : >=159 mmol/L

Test: POTASSIUM, S/P
Male/Female Ages >=0 Days - <1 Month: Normal Range: 3.5-5.1 mmol/L Critical Low : <=3.1 mmol/L Critical High : >=7.9 mmol/L Male/Female Ages >=1 Month: Normal Range: 3.5-5.1 mmol/L Critical Low : <=2.9 mmol/L Critical High : >=5.9 mmol/L

Test: CHLORIDE, S/P
Male/Female All Ages: Normal Range: 98-107 mmol/L

Test: CO2 CONTENT, S/P
Male/Female Ages >=0 Days - <1 Month: Normal Range: 17.0-24.0 mmol/L Critical Low : <=10.1 mmol/L Critical High : >=39.9 mmol/L Male/Female Ages >=1 Month: Normal Range: 22.0-29.0 mmol/L Critical Low : <=10.1 mmol/L Critical High : >=39.9 mmol/L

Test: ANION GAP
Male/Female All Ages: Normal Range: 7-16

Test: CALCIUM, S/P
Male/Female Ages >=0 Days - <11 Days: Normal Range: 7.6-10.4 mg/dL Critical Low : <=6.1 mg/dL Critical High : >=12.9 mg/dL Male/Female Ages >=11 Days - <2 Years: Normal Range: 9.0-11.0 mg/dL Critical Low : <=6.1 mg/dL Critical High : >=12.9 mg/dL Male/Female Ages >=2 Years - <13 Years: Normal Range: 8.8-10.8 mg/dL Critical Low : <=6.1 mg/dL Critical High : >=12.9 mg/dL Male/Female Ages >=13 Years - <91 Years: Normal Range: 8.6-10.5 mg/dL Critical Low : <=6.1 mg/dL Critical High : >=12.9 mg/dL Male/Female Ages >=91 Years: Normal Range: 8.2-9.6 mg/dL Critical Low : <=6.1 mg/dL Critical High : >=12.9 mg/dL

Test: GLUCOSE, S/P
Male/Female Ages >=0 Days - <2 Days: Normal Range: 40-60 mg/dL Critical Low : <=31 mg/dL Critical High : >=299 mg/dL Male/Female Ages >=2 Days - <2 Years: Normal Range: 50-80 mg/dL Critical Low : <=31 mg/dL Critical High : >=299 mg/dL Male/Female Ages >=2 Years - <16 Years: Normal Range: 60-100 mg/dL Critical Low : <=31 mg/dL Critical High : >=299 mg/dL Male/Female Ages >=16 Years: Normal Range: 70-99 mg/dL Critical Low : <=41 mg/dL Critical High : >=499 mg/dL

Test: UREA NITROGEN (BUN),S/P
Male/Female Ages >=1 Day: Normal Range: 3-20 mg/dL Critical High : >=99 mg/dL

Test: CREATININE,P/S
Male/Female Ages >=1 Day: Normal Range: 0.6-1.2 mg/dL

Test: GFR-1 if non-African American See report for normal ranges.

Test: GFR-2 if African American See report for normal ranges.

Test: GFR-3 COMMENT See report for normal ranges.

Test: UREA N/CREATININE RATIO
Male/Female All Ages: Normal Range: 12-20

Test: BILIRUBIN, TOTAL, SERUM
Male/Female Ages >=0 Days - <1 Day: Normal Range: Not Appicable Critical High : >=7.0 mg/dL Male/Female Ages >=1 Day - <2 Days: Normal Range: Not Appicable Critical High : >=11.0 mg/dL Male/Female Ages >=2 Days - <3 Days: Normal Range: Not Appicable Critical High : >=13.0 mg/dL Male/Female Ages >=3 Days - <13 Days: Normal Range: Not Appicable Critical High : >=15.0 mg/dL Male/Female Ages >=13 Days - <1 Month: Normal Range: 2.0-12.0 mg/dL Critical High : >=15.0 mg/dL Male/Female Ages >=1 Month: Normal Range: 0.3-1.2 mg/dL

Test: PROTEIN,TOTAL,S/P
Male/Female Ages >=0 Days - <18 Years: Normal Range: 4.4-8.0 g/dL Male/Female Ages >=18 Years: Normal Range: 6.6-8.7 g/dL

Test: ALBUMIN,S/P
Male/Female Ages >=0 Days - <5 Days: Normal Range: 2.8-4.4 g/dL Male/Female Ages >=5 Days - <15 Years: Normal Range: 3.8-5.4 g/dL Male/Female Ages >=15 Years - <19 Years: Normal Range: 3.2-4.5 g/dL Male/Female Ages >=19 Years: Normal Range: 3.5-5.2 g/dL

Test: GLOBULIN,S/P
Male/Female Ages >=0 Days - <17 Years: Normal Range: 1.6-2.7 g/dL Male/Female Ages >=17 Years: Normal Range: 2.4-3.7 g/dL

Test: ALKALINE PHOSPHATASE,S/P
Female Ages >=0 Days - <3 Years: Normal Range: 5-281 U/L Female Ages >=3 Years - <14 Years: Normal Range: 5-299 U/L Female Ages >=14 Years - <18 Years: Normal Range: 5-187 U/L Female Ages >=18 Years: Normal Range: 35-104 U/L Male Ages >=0 Days - <3 Years: Normal Range: 5-281 U/L Male Ages >=3 Years - <14 Years: Normal Range: 5-299 U/L Male Ages >=14 Years - <18 Years: Normal Range: 5-390 U/L Male Ages >=18 Years: Normal Range: 40-129 U/L

Test: AST(SGOT),S/P
Female All Ages: Normal Range: 10-32 U/L Male All Ages: Normal Range: 10-40 U/L

Test: ALT(SGPT),S/P
Female All Ages: Normal Range: 4-33 U/L Male All Ages: Normal Range: 4-41 U/L "

Performing Laboratory
Little Company of Mary Hospital
2800 W. 95th St.
Evergreen Park, IL 60805

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.