Resources

Venous Blood Gas Co-Oximetry

Test Code
VBG COOX


CPT Codes
85018, 82375

Preferred Specimen
1 mL whole blood in Lithium heparin blood gas syringe


Minimum Volume
0.5 mL whole blood  in Lithium heparin blood gas syringe


Other Acceptable Specimens
Green Top (Lithium Heparin)
Minimum Volume
2 mL


Instructions
Specimen must arrive within 1 hour of draw.


Cap syringe(s) tightly, remove any air bubbles. Send ambient.


If there is a delay in transport >30 minutes, send specimen on crushed ice.



Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Cancel and request a redraw >30 min at Room Temp and not on Ice. Cancel and request a redraw >1 Hour at 0-4C.


Methodology
Spectrophotometry, Calculation

Setup Schedule
Monday through Sunday; Continuously


Report Available
Same Day


Reference Range
Total Hemoglobin


o Male:


VBG: 0 – 2 Weeks: 14.5 – 22.5 g/dL


VBG: 2 Wks – 1 Mo: 10.0 – 18.0 g/dL


VBG: 1 Mo – 2 Yrs: 9.5 – 14.0 g/dL


VBG: 2 – 10 Yrs: 11.5 – 14.5 g/dL


VBG: 10 – 18 Yrs: 13.0 – 16.0 g/dL


VBG: 18 – 150 Yrs: 13.5 – 17.0 g/dL


o Female:


VBG: 0 – 2 Weeks: 14.5 – 22.5 g/dL


VBG: 2 Wks – 1 Mo: 10.0 – 18.0 g/dL


VBG: 1 Mo – 2 Yrs: 9.5 – 14.0 g/dL


VBG: 2 – 10 Yrs: 11.5 – 14.5 g/dL


VBG: 10 – 18 Yrs: 12.0 – 15.0 g/dL


VBG: 18 – 150 Yrs: 12.0 – 16.0 g/dL


Critical value (automatic call-back): <6.1 g/dL


 


Oxyhemoglobin


o VBG: 60 – 80 %


 


Methemoglobin


o VBG: 0.0 – 1.9%


Critical value (automatic call-back): >10.0%


 


Carboxyhemoglobin


o VBG: 0.0 – 1.5%


Critical value (automatic call-back): >10.0%



Clinical Significance
The Arterial Blood Gas test is used to evaluate respiratory diseases and conditions that affect the lungs. It helps determine the effectiveness of oxygen therapy. The test also provides information about the body's acid/base balance, which can reveal important clues about lung and kidney function and the body's general metabolic state. This is the physical and chemical processes in the body that convert or use energy.


Performing Laboratory
NCMC & BFCMC



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.