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Test Code LAB5382 Creatinine - Serum or Plasma

Performing Laboratory

Asante Rogue Regional Medical Center / Asante Three Rivers Medical Center / Ashland Community Hospital / Asante White City Laboratory

Specimen Minimum Volume

0.5 ml

Billing Code

2050474

Methodology

Kinetic Jaffe Reaction; IDMS standardized

Specimen Requirements

Yellow (Gold) top tube (SST)  

Lithium Heparin Green top tube

Plain Red top tube  

 

Outpatient clients MUST draw SST

Day(s) Test Set Up

Monday through Sunday

Routine – same day

ASAP – 2 hours after receipt of specimen in lab

STAT – 1 hour after receipt of specimen in lab

Test Classification and CPT Coding

82565  -  Creatinine; blood 

Additional Information

A renal function test, providing an index of glomerular filtration.  Causes of high creatinine include:  renal disease and insufficiency with decreased glomerular filtration (uremia if severe); urinary tract obstruction; reduced renal blood flow including congestive heart failure, shock and dehydration.  Rhabdomyolysis causes high serum creatinine.  Causes of low creatinine include debilitation, decreased muscle mass. 

Limitations:  Certain cephalosporins, especially cefoxitin, cause misleading (high) results.

 

NOTE: An estimate of glomeular filtration, using the 4 parameter MDFD equation (eGFR) is provided with each adult creatinine result.

Specimen Transport Temperature and Stability

Serum or plasma should be centrifuged and separated from cells by either aliquoting or use of a gel separator tube within 2 hours of collection.

 

Serum or plasma is stable 7 days at 2-8° Celsius.

 

Urine stable for 2 days at room temperature at 20-25° Celsius or 6 days refrigerated at 2-8° Celsius.

Performing Department

Chemistry

Reasons for Rejection

Hemolysis

Quantity not sufficient (QNS)

Lack of Two Patient Identifiers:

         1-Patient's First & Last name 

         2-Patient's Date of Birth