PHOSPHORUS

Test Code
LAB113


Quest Code
718


CPT Codes
84100

Preferred Specimen
1 mL serum


Minimum Volume
0.5 mL


Transport Container
Serum separator tube (SST)


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 72 hours
Refrigerated: 7 days
Frozen: 28 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis • Plasma


Methodology
Spectrophotometry (SP)

Setup Schedule
Daily


Report Available
1 day


Reference Range
No age 2.5-4.5 mg/dL
<7 Days 4.0-9.0 mg.dL
7 Days-2 Years 4.0-8.0 mg/dL
3-12 Years  3.0-6.0 mg/dL
13-15 Years 3.2-6.0 mg/dL
16-18 Years 3.0-5.1 mg/dL
19-20 Years 2.7-5.0 mg/dL
21-64 Years 2.5-4.5 mg/dL
>64 Years 2.1-4.3 mg/dL


Clinical Significance
Serum phosphorus (Phosphate) levels alone are of limited diagnostic value and should be correlated with serum calcium levels. An increased phosphorus with decreased calcium suggests either hypoparathyroidism or renal disease. A decreased phosphorus and an increased calcium suggests hyperparathyroidism or sarcoidosis. When both calcium and phosphorus are decreased diagnostic considerations include malabsorption, vitamin D deficiency and renal tubular acidosis. Increased phosphorus and normal or increased calcium suggests Milk-alkali syndrome or hypervitaminosis D.


Performing Laboratory
Quest Diagnostics-Lenexa
10101 Renner Blvd
Lenexa , KS 66219-9752



Last Updated: August 13, 2021


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.