Phosphorus, Plasma or Serum

Test Code
PHOS - NOCO


CPT Codes
84100

Preferred Specimen
1.0 ml plasma from Green top (Lithium Heparin)


Minimum Volume
0.5 mL
Note: For neonate requirements see Neonate Minimum Blood Volumes


Other Acceptable Specimens
1.0 mL serum from Serum Gel or Red Top


Specimen Stability
Temperature Time
Refrigerated 4 days


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


Methodology
Spectrophotometric Bichromatic Endpoint

Setup Schedule
Monday through Sunday; Continuously


Report Available
Same day


Reference Range
MALES
0 - 2 years: 3.2 - 7.3 mg/dL
2 - 5 years: 3.6 - 6.5 mg/dL
5 - 8 years: 3.6 - 6.1 mg/dL
8 - 11 years: 3.6 - 6.0 mg/dL
11 - 14 years: 3.5 - 5.9 mg/dL
14 -17 years: 3.2 - 5.8 mg/dL
17 - 19 years: 2.7 - 5.9 mg/dL
19 - 150 years: 2.4 - 4.8 mg/dL

FEMALES
0 - 2 years: 3.2 - 7.3 mg/dL
2 - 5 years: 3.6 - 6.5 mg/dL
5 - 8 years: 3.6 - 6.1 mg/dL
8 - 11 years: 3.6 - 6.0 mg/dL
11 - 14 years: 3.5 - 5.9 mg/dL
14 -17 years: 3.2 - 5.3 mg/dL
17 - 19 years: 2.8 - 5.0 mg/dL
19 - 150 years: 2.4 - 4.8 mg/dL

Critical value (automatic call-back): <1.1 mg/dL


Clinical Significance
88 % of the phosphorus contained in the body is localized in bone in the form of calcium phosphate as the apatite Ca2+[Ca3(PO4)2]3 2-. The remainder is involved in intermediary carbohydrate metabolism and in physiologically important substances such as phospholipids, nucleic acids and ATP. Phosphorus occurs in blood in the form of inorganic phosphate and in organically bound phosphoric acid. The small amount of extracellular organic phosphorus is found almost exclusively in the form of phospholipids. The ratio of phosphate to calcium in the blood is approximately 6:10. An increase in the level of phosphorus causes a decrease in the calcium level. The mechanism is influenced by interactions between parathormone and vitamin D. Hypoparathyroidism, vitamin D intoxication and renal failure with decreased glomerular phosphate filtration give rise to hyperphosphatemia. Hypophosphatemia occurs in rickets, hyperparathyroidism and Fanconi's syndrome. 


Performing Laboratory
Banner Fort Collins Medical Center Laboratory
McKee Medical Center Laboratory
North Colorado Medical Center Laboratory
Summit View Laboratory



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.