Phosphorus, Serum

Message
Test performed at York Hospital Laboratory.


Test Code
PHOS


Alias/See Also
Phosphate


CPT Codes
84100

Preferred Specimen
0.2 mL serum collected in a serum separator tube (SST)


Other Acceptable Specimens
0.2 mL serum collected in a no additive (red-top) tube, transferred to a plastic screw-cap vial 0.2 mL plasma collected in a lithium heparin (green-top) gel separator tube


Instructions
Separate serum or plasma from the cells within 4 hours of collection.


Transport Temperature
Refrigerated


Specimen Stability
Room temperature: 3 days
Refrigerated: 7 days
Frozen: 2 months


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolyzed specimens


Methodology
Spectrophotometry

Setup Schedule
Daily


Report Available
Next Day Available STAT 1/2 Hour


Reference Range
Age Phosphorus (mg/dL)
<5 Days 4.6 - 8.0
1 Month - 3 Years 3.9 - 6.5
4-6 Years 3.7 - 5.4
7-11 Years 3.7 - 5.6
12-13 Years 3.3 - 5.4
14-15 Years 2.9 - 5.4
16-19 Years 2.8 - 4.6
Adult 2.5 - 4.5

Critical Values
<1.0 mg/dL


Clinical Significance
Causes of high phosphorus include dehydration, hypoparathyroidism, hypervitaminosis D, metastases to bone, sarcoidosis, pulmonary embolism, renal failure, and diabetes mellitus with ketosis. Low serum phosphorus is found in primary hyperparathyroidism and other causes of serum calcium elevation, sepsis, vitamin D deficiency, renal tubular disorders, chronic hemodialysis, vomiting, and occasionally with decreased dietary phosphate intake.




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.