Blood Gas Arterial with Co-ox and Electrolytes

Test Code
LAB5075 1230001300


CPT Codes
8280380051800518294782330

Includes
POC ALLEN'S TEST
O2 CONTENT
SOURCE OF OXYGEN
BLOOD GAS MINUTE VOLUME
BLOOD GAS DRAW SITE
PERFORMED BY:
COMMENTS, BLOOD GAS
PATIENT TEMPERATURE BLOOD GAS
PH OF ARTERIAL BLOOD
CARBON DIOXIDE (MM HG) IN ARTERIAL BLOOD
OXYGEN (MM HG) IN ARTERIAL BLOOD
BICARBONATE (MMOL/L) IN ARTERIAL BLOOD
BASE EXCESS (MMOL/L) IN BLOOD BY CALCULATION
BASE DEFICIT
OXYGEN SATURATION (%) IN ARTERIAL BLOOD
CARBOXYHEMOGLOBIN
METHEMOGLOBIN % IN BLOOD
HEMOGLOBIN BLOOD GAS
SODIUM BLOOD
POTASSIUM BLOOD
CALCIUM IONIZED (MMOL/L) IN BLOOD
CHLORIDE (MOLES/VOLUME) IN BLOOD
CV READBACK


Preferred Specimen
Blood, arterial


Transport Container
HEPARINIZED SYRINGE


Reference Range
External Name Parameter Summary Result Checking Type Low (N) High (N) Numeric Range (N)
Calcium, Ion 0 up to 1 Months Reference Range 1.00 1.30 1.00-1.30
Calcium, Ion 0 up to 1 Months Abnormality - Critical  0.81 1.59 <0.81 or >1.59
Calcium, Ion 1 Months up to 6 Months Reference Range 0.95 1.50 0.95-1.50
Calcium, Ion 1 Months up to 6 Months Abnormality - Critical  0.81 1.59 <0.81 or >1.59
Calcium, Ion 6 Months up to unspecified Reference Range 1.15 1.33 1.15-1.33
Calcium, Ion 6 Months up to unspecified Abnormality - Critical  0.81 1.59 <0.81 or >1.59
Carboxyhemoglobin 0 up to 28 Days Reference Range 0.0 5.0 0.0-5.0
Carboxyhemoglobin 0 up to 28 Days Abnormality - Critical    5.0 >5.0
Carboxyhemoglobin 28 Days up to unspecified Reference Range 0.5 1.5 0.5-1.5
Carboxyhemoglobin 28 Days up to unspecified Abnormality - Critical    10.0 >10.0
Chloride, Blood Gas   Reference Range 98 107 98-107
HCO3, Arterial   Reference Range 22.0 26.0 22.0-26.0
Hgb, blood gas 0 up to 28 Days Reference Range 12.0 18.0 12.0-18.0
Hgb, blood gas 0 up to 28 Days Abnormality - Critical  11.0 25.0 <11.0 or >25.0
Hgb, blood gas 28 Days up to unspecified Reference Range 12.0 18.0 12.0-18.0
Hgb, blood gas 28 Days up to unspecified Abnormality - Critical  7.0 20.0 <7.0 or >20.0
Methemoglobin   Reference Range 0.0 1.5 0.0-1.5
Methemoglobin   Abnormality - Critical  0.0 5.0 <0.0 or >5.0
O2 Sat, Arterial   Reference Range 94.0 98.0 94.0-98.0
pCO2, Arterial 0 up to 1 Days Reference Range 45.0 55.0 45.0-55.0
pCO2, Arterial 0 up to 1 Days Abnormality - Critical  35.0 60.0 <35.0 or >60.0
pCO2, Arterial 1 Days up to 28 Days Reference Range 35.0 40.0 35.0-40.0
pCO2, Arterial 1 Days up to 28 Days Abnormality - Critical  20.0 75.0 <20.0 or >75.0
pCO2, Arterial 28 Days up to unspecified Reference Range 32.0 48.0 32.0-48.0
pCO2, Arterial 28 Days up to unspecified Abnormality - Critical  20.0 75.0 <20.0 or >75.0
pH, Arterial Blood 0 up to 1 Days Reference Range 7.200 7.500 7.200-7.500
pH, Arterial Blood 0 up to 1 Days Abnormality - Critical  7.200 7.600 <7.200 or >7.600
pH, Arterial Blood 1 Days up to 2 Days Reference Range 7.200 7.500 7.200-7.500
pH, Arterial Blood 1 Days up to 2 Days Abnormality - Critical  7.200 7.600 <7.200 or >7.600
pH, Arterial Blood 2 Days up to unspecified Reference Range 7.320 7.450 7.320-7.450
pH, Arterial Blood 2 Days up to unspecified Abnormality - Critical  7.200 7.600 <7.200 or >7.600
pO2, Arterial 0 up to 1 Days Reference Range 50 60 50-60
pO2, Arterial 0 up to 1 Days Abnormality - Critical  50 120 <50 or >120
pO2, Arterial 1 Days up to 28 Days Reference Range 70 100 70-100
pO2, Arterial 1 Days up to 28 Days Abnormality - Critical  40   <40
pO2, Arterial 28 Days up to unspecified Reference Range 83 108 83-108
pO2, Arterial 28 Days up to unspecified Abnormality - Critical  40   <40
Potassium, Blood Gas   Reference Range 3.40 4.50 3.40-4.50
Potassium, Blood Gas   Abnormality - Critical  3.10 5.99 <3.10 or >5.99
Sodium, Blood Gas   Reference Range 136.0 145.0 136.0-145.0
Sodium, Blood Gas   Abnormality - Critical  120.0 160.0 <120.0 or >160.0


Performing Laboratory
MWH LAB SH 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.