Creatine Kinase, Total (CK)

Message
Performing Lab: Central Lab, St Cloud, Hudson, Lakeview, Regions, Westfields


Test Code
0113


Alias/See Also
Sunquest: CK; Creatine Phosphokinase, CPK


CPT Codes
82550

Preferred Specimen
0.1 mL Lithium Heparin Plasma (light green-top) tube


Minimum Volume
54 uL


Other Acceptable Specimens
Serum (gold-top, red-top, red/gray-top), Lithium Heparin (light green-top) on ICE


Transport Temperature
Refrgerated


Specimen Stability
 Room Temperature (2 days), Refrigerated (7 days), Frozen (not recommended)


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross Hemolysis


Methodology
NAC N-acetyl-L-cystain

Setup Schedule
Hospital: Daily
Clinics: Monday - Friday


Report Available
Same day.


Reference Range
  Male Female
     
     
  30 - 200 U/L 29 - 168 U/L


Clinical Significance
Creatine kinase is a cellular enzyme with a wide tissue distribution. CK is found mainly in skeletal and cardiac muscle. CK’s physiological role is associated with ATP generation for contractile or transport systems.

Serum CK is almost always increased following acute myocardial infarction or skeletal muscle damage. The enzyme is commonly elevated in myocarditis of any cause, cerebrovascular accidents, rhabdomyolysis, polymyositis, and acute physical exertion. CK is also increased in the muscular dystrophies; in Duchenne’s muscular dystrophy, CK elevations of 20–200 times normal are common. Low CK may reflect decreased muscle mass or muscle wasting. Low serum CK activities are common in the elderly, in the bedridden, and in patients with advanced malignancy.




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.