Hypoglycemic Panel, Serum/Plasma

Test Code
19595


CPT Codes
80377 (HCPCS: G0480)

Includes
Chlorpropamide, Glimepiride, Glipizide, Glyburide, Nateglinide, Pioglitazone, Repaglinide, Rosiglitazone, Tolazamide, Tolbutamide


Preferred Specimen
1 mL serum collected in a red-top tube (no gel)


Minimum Volume
0.3 mL


Other Acceptable Specimens
Plasma collected in: Sodium fluoride/potassium oxalate (gray-top) tube


Instructions
Promptly centrifuge and separate Serum or Plasma into a plastic screw capped vial using approved guidelines


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: 48 hours
Refrigerated: 28 days
Frozen: 24 months


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Received room temperature • Polymer gel separation tube • Serum separator tube (SST®)


Methodology
High Performance Liquid Chromatography/Tandem Mass Spectrometry (LC-MS/MS)

Setup Schedule
Set up: As needed; Report available: 5 days




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.