Test Code LAB15 Basic Metabolic Panel
Performing Laboratory
Asante Rogue Regional Medical Center (ARRMC)/ Asante Three Rivers Medical Center (ATRMC)/ Asante Ashland Community Hospital (AACH)/ Asante White City Laboratory
Performing Department
Chemistry
Specimen Minimum Volume
1.0 ml
Specimen Stability Information
Centrifuge and refrigerate within 2 hours of collection
Primary tube: Spun SST stable 24 hours at 2° to 8° C
Serum stable 48 hours if aliquoted and refrigerated at 2° to 8° C
Reject Due To
Hemolysis
Quantity not sufficient (QNS)
Lack of Two Patient Identifiers:
1-Patient's First & Last name
2-Patient's Date of Birth
Day(s) Performed
Monday through Sunday
Routine – same day
ASAP – 2 hours after receipt of specimen in lab
STAT – 1 hour after receipt of specimen in lab
Method Name
See individual tests
CPT Code Information
80048 - Basic metabolic panel (Calcium, total)
This panel must include the following:
Calcium, total (82310) Carbon dioxide (82374) Chloride (82435) Creatinine (82565)
Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)
Billing Code
3000192
Profile Information
Test includes:
Carbon Dioxide, Chloride, Creatinine, Glucose, Potassium, Sodium, BUN, Calcium, Anion Gap, Estimated Glomerular Filtration Rate
Reference Values
| Sodium | 0 up to 1 Year | 133 - 146 mmol/L | |
| 1 Years up to 13 Years | 138 - 145 mmol/L | ||
| 13 Years and Up | 135 - 143 mmol/L | ||
| Potassium | 0 up to 1 Month | 3.9 - 6.8 mmol/L | |
| 1 Month up to 1 Year | 3.6 - 6.8 mmol/L | ||
| 1 Year up to 6 Years | 3.4 - 5.4 mmol/L | ||
| 6 Years and Up | 3.5 - 5.1 mmol/L | ||
| Chloride | 0 up to 2 Months | 98 - 113 mmol/L | |
| 2 Months and Up | 98 - 111 mmol/L | ||
| CO2 | 0 up to 2 Years | 17.0 - 29.0 mmol/L | |
| 2 Years and Up | 21.0 - 31.0 mmol/L | ||
| Glucose | All Ages | 80 - 99 mg/dL | |
| BUN | 0 up to 6 Days | 4 - 12 mg/dL | |
| 6 Days up to 19 Years | 5 - 18 mg/dL | ||
| 19 years and up | 6 - 23 mg/dL | ||
| Creatinine | Female | Male | |
| 0 up to 4 Days | 0.30 - 1.00 mg/dL | 0.30 - 1.00 mg/dL | |
| 4 Days up to 2 Months | 0.20 - 0.40 mg/dL | 0.20 - 0.40 mg/dL | |
| 2 Months up to 10 Years | 0.30 - 0.70 mg/dL | 0.30 - 0.70 mg/dL | |
| 10 Years up to 18 Years | 0.50 - 1.00 mg/dL | 0.50 - 1.00 mg/dL | |
| 18 Years and Up | 0.55 - 1.10 mg/dL | 0.65 - 1.30 mg/dL | |
| Calcium | 0 up to 10 Days | 7.6 - 10.4 mg/dL | |
| 10 days up to 2 Years | 9.0 - 11.0 mg/dL | ||
| 2 Years up to 13 Years | 8.8 - 10.8 mg/dL | ||
| 13 Years and Up | 8.6 - 10.3 mg/dL | ||
| Anion Gap | All Ages | 3.0 - 11.0 mmol/L | |
| Estimate GFR | All Ages | ≥ 60 mL/min/1.73 m^2 | |