LACTIC ACID

Message
Patient must come to Augusta Health Main Lab in Fishersville, VA for specimen collection.


Test Code
LA


CPT Codes
83605

Preferred Specimen
DARK GREEN SODIUM HEPARIN TUBE


Minimum Volume
100 ul


Other Acceptable Specimens
Arterial


Instructions
Patient must not flex hand prior to collection.  Collect specimen without a tourniquet.
Specimen should be collected in a Dark Green (no gel) Na Heparin tube.  Place specimen on ice.


Transport Container
Ice


Specimen Stability
15 minutes room temp, 8 hours on ice


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Clotted samples, aged samples


Clinical Significance
Lactic acidosis occurs in two clinical settings -- (1) type A (hypoxic), associated with decreased tissue oxigenation such as shock, hypovolemia (diminished blood volume, left ventricular failure; and B (metabolic), associated with diseases such as diabetes mellitus, neoplasia, liver disease, drugs/toxins, and inborn errors of metabolism.




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.