Glucose Tolerance Test, 6 specimens : 10562

Test Code
GPC3AU or 10562


CPT Codes
82951, 82952x3

Instructions
Patient Preparation:
Fasting required. Fasting is defined as no consumption of food or beverage other than water for at least 8 hours before testing.
  
Immediately after a fasting specimen is obtained, have patient ingest a 75 g load of glucose. Draw subsequent specimens 1, 2, 3, 4 and 5 hours later. Label each with the specific draw time. 
  
Serum and plasma submissions must be separated from cells.


Transport Container
Preferred Specimen
Six - 1 mL plasma specimens collected in fluoride/oxalate (gray-top) tubes


Alternative Specimens
Plasma from fluoride/oxalate (gray-top) tube in a plastic screw-cap vial, Serum (separated from cells immediately) in a plastic screw-cap vial, Spun SST, Plasma from lithium heparin (green-top) tube in a plastic screw-cap vial, Plasma from sodium heparin (green-top) tube in a plastic screw-cap vial

Minimum Volume
0.5 mL for each specimen


Transport Temperature
Room temperature.


Specimen Stability
Serum:
Room temperature: 4 days
Refrigerated: 7 days
Frozen: 28 days

Whole blood (gray-top) tube:
Room temperature: 24 hours
Refrigerated: 72 hours
Frozen: Unacceptable

Sodium fluoride plasma:
Room temperature: 7 days
Refrigerated: 7 days
Frozen: 28 days

Heparinized plasma:
Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 28 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Unspun SST, Red-top or non-plasma separator (PST) green-top tubes, Anticoagulants other than lithium heparin, sodium heparin or fluoride/oxalate


Methodology
Spectrophotometry

Setup Schedule
Sunday - Saturday


Report Available
1 day


Reference Range
Glucose Value (mg/dL)


Interpretation Fasting 1 Hr Tolerance 2 Hr Tolerance


Normal                <100            Not established <140


Impaired Fasting   100-125  


Impaired Tolerance                                     140-199


Diabetes               ≥126*                                   ≥200*


   


 *Must be confirmed by testing on a subsequent day.



Clinical Significance
This test is used for the routine diagnosis of diabetes in children and the non- pregnant adult. For pregnant females use test code 6745. For appropriate interpretation of this test, the patient must fast overnight and ingest a 75 g load of glucose, immediately after a fasting specimen is obtained. (for children, the glucose load is 1.75 g/kg of body weight, up to 75). The diagnosis of diabetes is made if glucose exceeds 200 mg/dL in the 2 hour specimen and in any preceding specimen.


Performing Laboratory
med fusion



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.