OSMOLARITY(DHMC)STAT

Message
CHEMISTRY-DHMC


Test Code
OSMOLARITY(DHMC)STAT


Alias/See Also
OSMOLALITY


CPT Codes
83935

Preferred Specimen
PLASMA OR URINE OR BOTH ON SEPARATE ORDER NUMBERS


Minimum Volume
PLASMA: 2mLs, URINE: 1mL


Instructions
DRAW 1 LT GREEN LITH HEP TUBE, SPIN DOWN,  AND SEND TO LAB. OR COLLECT RANDOM URINE SAMPLE WITH A STERILE CONTAINER PROVIDED BY PHYSICIAN'S OFFICE OR LAB AND SEND TO LAB.
Both Urine and Plasma may be collected but separate orders should be placed for each sample type.


Transport Container
PLASTICE TUBE/ STERILE CONTAINER


Transport Temperature
REFRIGERATED


Specimen Stability
PLASMA: Room temperature: 24 hours,  Refrigerated (2-8°C): 24 hours URINE: Room temperature: 24 hours Refrigerated (2-8°C): 24 hours


Methodology
PLASMA/URINE: Freezing point measurement

Setup Schedule
DAILY


Report Available
Transfered to DHMC via Crosstown courier if STAT, or with Daily M-F Courier run.  Results are completed DAILY.


Reference Range
PLASMA: 275- 295.0  mOsm/kg
URINE: 300 - 1000 mOsm.kg


Clinical Significance
Plasma osmolality is increased in hypernatremia, hyperglycemia, uremia, ethanol, methanol, or ethylene glycol overdoses, and in diabetes insipidus. URINE: This test is useful in the diagnosis and management of fluid and electrolyte disorders. Osmolality measures the moles of a nonelectrolyte substance dissolved per kilogram of pure water. Urine osmolality is a measure of solute concentration in the urine, and reflects the concentrating ability of the kidneys. The major factor modulating urine osmolality is vasopressin (antidiuretic hormone) and the urine-concentrating apparatus of the kidney, which responds to it.


Performing Laboratory
Dartmouth Hitchcock Medical Center-STAT



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.