Renal Panel

Test Code

RENAL

CPT Codes
80069

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
ALBUMIN,S/P
PHOSPHORUS,S/P
"

Preferred Specimen

3.5 mL Lithium Heparin (mint top tube)
0 days - <1 year 1 microtainer plain

Minimum Volume

1 mL S/P

Other Acceptable Specimens

Serum red top tube

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: 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: PHOSPHORUS,S/P
Male/Female Ages >=0 Days - <11 Days:
Normal Range: 4.5-9.0 mg/dL
Critical Low : <=1.0 mg/dL

Male/Female Ages >=11 Days - <2 Years:
Normal Range: 4.5-6.7 mg/dL
Critical Low : <=1.0 mg/dL

Male/Female Ages >=2 Years - <12 Years:
Normal Range: 4.5-5.5 mg/dL
Critical Low : <=1.0 mg/dL

Male/Female Ages >=12 Years:
Normal Range: 2.7-4.5 mg/dL
Critical Low : <=1.0 mg/dL

"

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.