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CG8 ISTAT, POC

Test Code
LAB5021 1230989097


Alias/See Also
CG8I


CPT Codes
82947, 84295,84132,82330,85014,82803,85018

Includes
POCT GLUCOSE, BLD
POCT SODIUM, BLD
POCT POTASSIUM, BLD
POCT IONIZED CALCIUM, BLD
POCT HEMOGLOBIN, BLD
POCT HEMATOCRIT, BLD
POCT PH, BLD
POCT PCO2, BLD
POCT PO2, BLD
POCT TCO2, BLD
POCT HCO3, BLD
POCT SO2, 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 Glucose 0 up to 1 Months Reference Range 41 60 41-60
ISTAT Glucose 0 up to 1 Months Abnormality - Critical  41 299 <41 or >299
ISTAT Glucose 1 Months up to unspecified Reference Range 70 105 70-105
ISTAT Glucose 1 Months up to unspecified Abnormality - Critical  51 499 <51 or >499
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 Hematocrit 0 up to 1 Months Reference Range 43 63 43-63
ISTAT Hematocrit 0 up to 1 Months Abnormality - Critical  20 68 <20 or >68
ISTAT Hematocrit 1 Months up to unspecified Reference Range 38 51 38-51
ISTAT Hematocrit 1 Months up to unspecified Abnormality - Critical  20 61 <20 or >61
ISTAT Hemoglobin 0 up to 1 Months Reference Range 14.0 24.0 14.0-24.0
ISTAT Hemoglobin 0 up to 1 Months Abnormality - Critical  11.0 25.0 <11.0 or >25.0
ISTAT Hemoglobin 1 Months up to unspecified Reference Range 12.0 17.0 12.0-17.0
ISTAT Hemoglobin 1 Months up to unspecified Abnormality - Critical  7.0 20.0 <7.0 or >20.0
ISTAT Ionized Calicum 0 up to 1 Months Reference Range 1.00 1.50 1.00-1.50
ISTAT Ionized Calicum 0 up to 1 Months Abnormality - Critical  0.81 1.59 <0.81 or >1.59
ISTAT Ionized Calicum 1 Months up to 6 Months Reference Range 0.95 1.50 0.95-1.50
ISTAT Ionized Calicum 1 Months up to 6 Months Abnormality - Critical  0.81 1.59 <0.81 or >1.59
ISTAT Ionized Calicum 6 Months up to unspecified Reference Range 1.12 1.32 1.12-1.32
ISTAT Ionized Calicum 6 Months up to unspecified Abnormality - Critical  0.81 1.59 <0.81 or >1.59
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 Potassium 0 up to 1 Months Reference Range 3.8 5.0 3.8-5.0
ISTAT Potassium 0 up to 1 Months Abnormality - Critical  3.0 7.3 <3.0 or >7.3
ISTAT Potassium 1 Months up to unspecified Reference Range 3.5 4.9 3.5-4.9
ISTAT Potassium 1 Months up to unspecified Abnormality - Critical  3.0 6.0 <3.0 or >6.0
ISTAT SO2 0 up to 1 Months Reference Range 94 100 94-100
ISTAT Sodium 0 up to 1 Months Reference Range 137 142 137-142
ISTAT Sodium 0 up to 1 Months Abnormality - Critical  120 160 <120 or >160
ISTAT Sodium 1 Months up to unspecified Reference Range 138 146 138-146
ISTAT Sodium 1 Months up to unspecified Abnormality - Critical  120 160 <120 or >160
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.