ERYTHROCYTE SEDIMENTATION RATE

Test Code
SED (OE), ESR (LAB)


Alias/See Also
  • ESR
  • Sed Rate
  • Westergren


CPT Codes
85652

Preferred Specimen
Lavender Tube (EDTA)

 


Patient Preparation
None

Minimum Volume
2 mL (3 mL optimal)


Instructions
Do not centrifuge, gently mix by inversion upon collection. 


Transport Container
LAVENDER Tube


Transport Temperature
Room Temperature


Specimen Stability
2-8°C up to 24 hours


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
  • Quantity not surfficient (QNS)
  • Clotted 
  • Hemolyzed
  • Lipemic


Methodology
Rheology technology

Setup Schedule
DAILY, as received


Report Available
STAT: <60 minutes
Routine: <4 hours


Reference Range
Female Ages >=0 Days - <51 Years: Normal Range: 0-20 MM/HR Female Ages >=51 Years - <86 Years: Normal Range: 0-30 MM/HR Female Ages >=86 Years: Normal Range: 0-42 MM/HR Male Ages >=0 Days - <51 Years: Normal Range: 0-15 MM/HR Male Ages >=51 Years - <86 Years: Normal Range: 0-20 MM/HR Male Ages >=86 Years: Normal Range: 0-30 MM/HR
 Reference ranges may vary based on performing lab. Use lab reports when interpreting patient results.


Clinical Significance
The ESR is helpful in revealing inflammatory activity and in monitoring the progress of conditions associated with acute and chronic inflammation including infections, cancers, and autoimmune diseases.  The ESR is particularly useful in evaluating patients with unexplained symptoms, when infectious diseases are suspected, and when a specific diagnosis is not available using other tests. 

The ESR provides particularly valuable information in conditions such as temporal arteritis, polymyalgia rheumatica, giant cells arteritis, inflammatory arthropathies, etc. It may be used to follow the progress of the diseased state, or monitor the effectiveness of treatment.


Performing Laboratory
Mount Sinai Hospital
Holy Cross Hospital
 



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.