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CG4 ISTAT, POC

Test Code
LAB5020 1230989096


Alias/See Also
CG4I


CPT Codes
82803, 83605

Includes
POCT PH, BLD
POCT PCO2, BLD
POCT PO2, BLD
POCT TCO2, BLD
POCT HCO3, BLD
POCT SO2, BLD
POCT LACTATE, BLD
POCT BASE EXCESS, BLD
POCT BASE DEFICIT


Transport Container
SYRINGE


Transport Temperature
Room Temperature


Reference Range
External Name+Q78Q1:AK7986 Parameter Summary Result Checking Type Low (N) High (N) Numeric Range (N)
Base Excess, Bld   Reference Range 0 3 0-3
ISTAT HCO3 0 up to 1 Months Reference Range 22 27 22-27
ISTAT HCO3 1 Months up to unspecified Reference Range 23 28 23-28
ISTAT Lactate 0 up to 1 Months Reference Range 0.30 0.80 0.30-0.80
ISTAT Lactate 0 up to 1 Months Abnormality - Critical  0.00 2.99 <0.00 or >2.99
ISTAT Lactate 1 Months up to unspecified Reference Range 0.90 1.70 0.90-1.70
ISTAT Lactate 1 Months up to unspecified Abnormality - Critical  0.00 2.99 <0.00 or >2.99
ISTAT pCO2 0 up to 1 Months Reference Range 35 55 35-55
ISTAT pCO2 0 up to 1 Months Abnormality - Critical  35 60 <35 or >60
ISTAT pCO2 1 Months up to unspecified Reference Range 41 51 41-51
ISTAT pCO2 1 Months up to unspecified Abnormality - Critical  20 75 <20 or >75
ISTAT pH 0 up to 1 Months Reference Range 7.20 7.40 7.20-7.40
ISTAT pH 0 up to 1 Months Abnormality - Critical  7.20 7.50 <7.20 or >7.50
ISTAT pH 1 Months up to unspecified Reference Range 7.31 7.41 7.31-7.41
ISTAT pH 1 Months up to unspecified Abnormality - Critical  7.20 7.60 <7.20 or >7.60
ISTAT pO2 0 up to 1 Months Reference Range 60 100 60-100
ISTAT pO2 0 up to 1 Months Abnormality - Critical  50 120 <50 or >120
ISTAT pO2 1 Months up to unspecified Reference Range 80 100 80-100
ISTAT pO2 1 Months up to unspecified Abnormality - Critical  40 999 <40 or >999
ISTAT SO2 0 up to 1 Months Reference Range 94 100 94-100
ISTAT TCO2 0 up to 1 Months Reference Range 22 30 22-30
ISTAT TCO2 0 up to 1 Months Abnormality - Critical  12 38 <12 or >38
ISTAT TCO2 1 Months up to unspecified Reference Range 24 29 24-29
ISTAT TCO2 1 Months up to unspecified Abnormality - Critical  5 50 <5 or >50


Performing Laboratory
MWH LAB SH LAB LH FSED MAIN LAB HC FSED Main Lab



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.