Hemoglobin A1c

Message
Performing Lab: Central Lab, Lakeview, Sartell, Westfields


Test Code
0178


Alias/See Also
Sunquest: A1C


CPT Codes
83036

Preferred Specimen
2.0 mL EDTA (lavender-top) whole blood


Minimum Volume
0.25 mL


Other Acceptable Specimens
EDTA (pink-top)


Instructions
Collection:
Interference may be seen if collection vial is not filled to minimum levels.
5 mL tube: 1.0 mL Whole Blood
3 mL tube: 0.5 mL Whole Blood
Capiject tube: 0.25 mL Whole Blood


Transport Temperature
Refrigerated


Specimen Stability
Refrigerated: 14 days

Lakeivew: Room Temperature (3 days), Refrigerated (7 days)


Methodology
High Performance Liquid Chromatography (HPLC)

Setup Schedule
Monday - Saturday


Report Available
Same day


Reference Range
4.3 - 5.6%

For Patients not previously diagnosed with diabetes:
5.7 - 6.4%: increased risk for diabetes (pre-diabetic)
>6.5%: Diagnostic for diabetes

For diabetic patients:
<8.0%: Goal of therapy for ages 18-75 (physicians may recommend a higher or lower goal for specific individuals)


Clinical Significance
The A1c test is used primarily to monitor the glucose control of diabetics over time. The goal of those with diabetes is to keep their blood glucose levels as close to normal as possible. This helps to minimize the complications caused by chronically elevated glucose levels, such as progressive damage to body organs like the kidneys, eyes, cardiovascular system, and nerves. The A1c test provides a picture of the average amount of glucose in the blood over the last few months. This can help you and your doctor know if the measures you are taking to control your diabetes are successful or need to be adjusted.

The A1c test is frequently used to help newly diagnosed diabetics determine how elevated their uncontrolled blood glucose levels have been. It may be ordered several times while control is being achieved, and then several times a year to verify that good control is being maintained.




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.