Blood Gas Arterial with Lactate

Test Code
POC114 1230100403


Alias/See Also
ABG


CPT Codes
828038501880051836058294782330

Includes
POC ALLEN'S TEST
O2 CONTENT
SOURCE OF OXYGEN
BLOOD GAS MINUTE VOLUME
BLOOD GAS DRAW SITE
BLOOD GAS SOURCE
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
LACTATE (MMOL/L) IN BLOOD
GLUCOSE BLOOD
HEMOGLOBIN BLOOD GAS
SODIUM BLOOD
POTASSIUM BLOOD
CALCIUM IONIZED (MMOL/L) IN BLOOD
CHLORIDE (MOLES/VOLUME) IN BLOOD
CV READBACK


Minimum Volume
1


Transport Container
HEPARINIZED SYRINGE


Transport Temperature
On Ice


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
Glucose, Blood Gas 0 up to 28 Days Reference Range 65 110 65-110
Glucose, Blood Gas 0 up to 28 Days Abnormality - Critical  41 299 <41 or >299
Glucose, Blood Gas 28 Days up to unspecified Reference Range 65 95 65-95
Glucose, Blood Gas 28 Days up to unspecified Abnormality - Critical  41 499 <41 or >499
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
Lactate, Blood Gas   Reference Range 0.36 1.39 0.36-1.39
Lactate, Blood Gas   Abnormality - Critical  0.00 2.99 <0.00 or >2.99
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.