Total Protein, Body Fluid

Message
Performing Lab: Lakeview, Regions


Test Code
3348


Alias/See Also
Sunquest: BFTP


CPT Codes
84157

Includes
Source; Total Protein


Preferred Specimen
0.2 mL Body Fluid


Minimum Volume
0.1 mL


Transport Temperature
Refrigerated


Specimen Stability
Room Temperature: 4 hours
Refrigerated: 3 days
Frozen: 6 months


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Too viscous to sample


Methodology
Colorimetric

Setup Schedule
Daily


Report Available
Same day.


Limitations
The use of this assay to monitor or diagnose patients has not been approved for this specimen type by the FDA or manufacturer of this assay.


Reference Range
No reference range established


Clinical Significance
Pleural fluid: transudate: protein less than 3.0 g/dL; exudate: protein greater than 3.0 g/dL; a greater than 0.5 g/dL pleural fluid to serum protein ratio is indicative of an exudate in hypoproteinemic states. Peritoneal fluid: exudate: greater than 2.5 g/dL; note: there are many exceptions to this figure.
For differentiation of transudates from exudates, test blood for protein, lactate dehydrogenase (LD), and glucose for comparison with fluid levels. Transudates (plasma ultrafiltrate) may be seen in congestive heart failure, cirrhosis, nephrosis; exudates (inflammatory response) may be seen in infections, infarcts, cancer, rheumatoid arthritis (lung), acute pancreatitis with left pleural effusion and ascites.




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.