CREATININE WITH eGFR PANEL

Message
CHEMISTRY


Test Code
CREAT/EGFR


Alias/See Also
CREATININE, EGFR CALCULATED


Includes
CREATININE, EGFR CALCULATED


Preferred Specimen
PLASMA


Minimum Volume
2 MLS


Other Acceptable Specimens
SERUM- GOLD TOP SST TUBE


Instructions
DRAW 1 LT GREEN LITHIUM HEPARIN PST TUBE TUBE, SPIN, AND SEND TO LAB.


Transport Container
ORIGINAL TUBE


Transport Temperature
REFRIGERATED


Specimen Stability
Room temperature: 7 days
Refrigerated (2-8°C): 7 days
Frozen (-20°C or colder): 3 months


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


Methodology
Kinetic Jaffe

Setup Schedule
DAILY


Report Available
DAILY


Reference Range
Test Reference range Units
Creatinine 0.5 - 1.5 mg/dL
EGFR > 60 mL/min


Clinical Significance
Serum creatinine is useful in the evaluation of kidney function and in monitoring renal dialysis. A serum creatinine result within the reference range does not rule out renal function impairment: Serum creatinine is not sensitive to early renal damage since it varies with age, gender and ethnic background. The impact of these variables can be reduced by an estimation of the glomerular filtration rate using an equation that includes serum creatinine, age and gender.

eGFR= estimated Glomerular Filtration Rate
eGFR < 60 ml/min indicates the presence of chronic kidney disease. Lower doses of some drugs may be needed in patients with eGFR < 60.
eGFR<60: associated with increased risk of cardiovascular disease. Patients with eGFR <30 should be referred for renal consultation.



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.