BNP

Message
CHEMISTRY


Test Code
BNP


Alias/See Also
BRAIN NATRIURETIC PEPTIDE


Preferred Specimen
WHOLE BLOOD OR PLASMA-Specimen Stability


Minimum Volume
1-2 MLS


Instructions
IF BNP AND CBC ARE ORDERED TOGETHER PLEASE DRAW 2 LAVENDER TOP TUBES.


Transport Container
PLASTIC TUBE


Transport Temperature
2-8 c REFRIGERATED, PLASMA OR WHOLE BLOOD good for 24hrs.
Frozen (Plasma only) good for 3 Months.
Room Temp is only stable for 4hrs.  Plasma or Whole Blood


Specimen Stability
WHOLE BLOOD OR PLASMA SAMPLE IS STABLE AT ROOM TEMPERATURE FOR 4 HOURS,
REFRIGERATED(WHOLE BLOOD, OR PLASMA)IS STABLE FOR 24 HOURS, AND 
FROZEN PLASMA SAMPLE IS STABLE FOR 3 MONTHS.(PLASMA ONLY)

IF SAMPLE CANNOT BE DELIVERED TO THE LAB WITHIN 4 HOURS, IT MUST BE 
REFRIGERATED 2-8 DEGREES WHERE IT IS GOOD FOR 24HRS.
IF SAMPLE IS GOING TO BE DELAYED GREATER THAN 24HR THE PLASMA SAMPLE CAN
BE FROZEN AND SENT TO LAB.  FROZEN PLASMA IS GOOD FOR 3 MONTHS.

** BOTH WHOLE BLOOD AND PLASMA SAMPLES ARE STABLE FOR 24HRS 
IF REFRIGERATED.***

**Rejection will happen if the above criteria is not followed.
 
EXTRA LABEL PROVIDED


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Unlabeled sample, improper temperature during transport. Wrong sample collection. Sample unspun before transport.


Methodology
Chemiluminescence microparticle immunoassay

Setup Schedule
DAILY


Report Available
DAILY


Reference Range
5-100 pg/mL : Normal, CHF unlikely 100-400 pg/mL : Abnormal, patients with LV dysfunction >400 pg/mL: CHF likely


Clinical Significance
Plasma BNP levels provide clinically useful information concerning the diagnosis and management of left ventricular dysfunction and heart failure, which complements other diagnostic testing procedures (e.g.. electrocardiograms, chest x-rays, and echocardiograms). Elevated levels of BNP in heart failure patients predict disease progression and increased morbidity and mortality. Acute coronary syndrome (ACS) patients with increased BNP levels have a higher rate of cardiac complications and higher mortality post myocardial infarction.


Performing Laboratory
WHITE RIVER JUNCTION VT VA- CHEMISTRY 802-295-9363 EXT: 5518, 5519



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.