GLUCOSE TOLERANCE, 3 HOUR GESTATIONAL

Test Code
GLUG3 (OE), GLUCG3 (LAB)


CPT Codes
82951, 82952

Includes
  • Baseline (glucose) fasting
  • 1 hour glucose (post 100g dose)
  • 2 hour glucose (post 100g dose)
  • 3 hour glucose (post 100g dose)


Preferred Specimen
Gold Tube (SST)


Patient Preparation
Patient must be fasting at least 8 hours prior to collection 

A total of 4 specimens will be drawn. 
  • Draw fasting specimen
  • Administer 100g oral glucose (Glucola) or dose specified by physician
  • Draw specimen 1 hour after consumption of oral glucose (Glucola)
  • Draw specimen 2 hours after consumption of oral glucose (Glucola)
  • Draw specimen 3 hours after consumption of oral glucose (Glucola)


Minimum Volume
1 mL


Other Acceptable Specimens
Green Tube (Lithium Heparin)


Instructions
Centrifuge specimen immediately and separate serum or plasma from red cells to minimize the loss of glucose through glycolysis. 


Transport Container
GOLD Tube


Transport Temperature
Room temperature


Specimen Stability
  • 2-8°C up to 3 days
  • 15-30°C up to 24 hours (plasma)
  • 15-30°C up to 8 hours (serum)


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
  • Collection time not labeled correctly on tube (s)
  • Hemolyzed


Methodology
Hexokinase

Setup Schedule
DAILY, as received


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


Reference Range
  • FASTING Male/Female All Ages: Normal Range: 65-94 mg/dL
  • 1 HR GEST Male/Female All Ages: Normal Range: <180 mg/dL
  • 2 HR GEST Male/Female All Ages: Normal Range: <155 mg/dL
  • 3 HR GEST Male/Female All Ages: Normal Range: <140 mg/dL


Clinical Significance
Establish the diagnosis of diabetes mellitus in the pregnant patient. This test is the follow-up test in the two-step approach recommended by the American College of Obstetrics and Gynocology (ACOG).


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.