Basic Metabolic Panel

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Basic Metabolic Panel CPT Code: 80048 Order Code: C902 Includes: Sodium, Potassium, Chloride, Carbon Dioxide, Glucose, BUN, Creatinine, BUN/Creatinine Ratio, Calcium, and Estimated Glomerular Filtration Rate ABN Requirement: No Synonyms: BMP Specimen: Serum Volume: 1.0 mL Minimum Volume: 0.5 mL Container: Gel-barrier tube (SST, Tiger Top) Collection: 1. Collect and label sample according to standard protocols. 2. Gently invert tube 5 times immediately after draw. DO NOT SHAKE. 3. Allow blood to clot 30 minutes. 4. Centrifuge for 10 minutes. Transport: Store serum at 2°C to 8°C after collection and ship the same day per packaging instructions included with the provided shipping box. Stability: Ambient (15-25°C): 8 hours Refrigerated (2-8°C): 7 days Frozen (-20°C): 14 days Causes for Rejection: Specimens other than serum; improper labeling; samples not stored properly; samples older than stability limits Methodology: Refer to individual tests for methodology used. Turn Around Time: 1 to 3 days Clinical Significance: The Basic Metabolic Panel (BMP) is used to check the status of a person’s kidney function and their electrolyte and acid/base balance, as well as their blood glucose level Limitations: Hemolyzed or lipemic specimens may produce false results. Refer to individual tests for preanalytical issues that may contribute to false test results. Additional Information: Some medications may produce false results. Refer to individual tests for medications that may increase or decrease test results. Refer to individual test for appropriate sample handling and testing information. The CPT codes provided 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 payer being billed..

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Laboratory Testing for Chronic Kidney Disease Diagnosis and Management
Test Guide Laboratory Testing for Chronic Kidney Disease Diagnosis and Management Chronic kidney disease is defined as abnormalities of kidney prone to error due to inaccurate timing of blood sampling, structure or function, present for greater than 3 months, incomplete urine collection over 24-hours, or over collection with implications for health.1 Diagnostic criteria include of urine beyond 24-hours.2,3 a decreased glomerular filtration rate (GFR) or presence Given that direct measurement of GFR may be problematic, of 1 or more other markers of kidney damage.1 Markers of eGFR, using either creatinine- or cystatin C-based kidney damage include a histologic abnormality, structural measurements, is most commonly used to diagnose CKD in abnormality, history of kidney transplantation, abnormal urine clinical practice. sediment, tubular disorder-caused electrolyte abnormality, or an increased urinary albumin level (albuminuria). Creatinine-Based eGFR This Test Guide discusses the use of laboratory tests that GFR is typically estimated using the Chronic Kidney Disease 4 may aid in identifying chronic kidney disease and monitoring Epidemiology Collaboration (CKD-EPI) equation. The CKD-EPI and managing disease progression, comorbidities, and equation uses serum-creatinine measurements and the complications. The tests discussed include measurement patient’s age (≥18 years old), sex, and race (African American and estimation of GFR as well as markers of kidney damage. vs non−African American). Creatinine-based eGFR is A list of applicable tests is provided in the Appendix. The recommended by the Kidney Disease Improving Global information is provided for informational purposes only and Outcomes (KDIGO) 2012 international guideline for initial is not intended as medical advice.
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Wellness Labs Explanation of Results
WELLNESS LABS EXPLANATION OF RESULTS BASIC METABOLIC PANEL BUN – Blood Urea Nitrogen (BUN) is a waste product of protein breakdown and is produced when excess protein in your body is broken down and used for energy. BUN levels greater than 50 mg/dL generally means that the kidneys are not functioning normally. Abnormally low BUN levels can be seen with malnutrition and liver failure. Creatinine – a waste product of normal muscle activity. High creatinine levels are most commonly seen in kidney failure and can also been seen with hyperthyroidism, conditions of overgrowth of the body, rhabdomyolysis, and early muscular dystrophy. Low creatinine levels can indicate low muscle mass associated with malnutrition and late-stage muscular dystrophy. Glucose – a simple sugar that serves as the main source of energy in the body. High glucose levels (hyperglycemia) is usually associated with prediabetes and can also occur with severe stress on the body such as surgery or events like stroke or trauma. High levels can also be seen with overactive thyroid, pancreatitis, or pancreatic cancer. Low glucose levels can occur with underactive thyroid and rare insulin- secreting tumors. Electrolytes – Sodium, Calcium, Potassium, Chloride, and Carbon Dioxide are all included in this category. Sodium – high levels of sodium can be seen with dehydration, excessive thirst, and urination due to abnormally low levels of antidiuretic hormone (diabetes insipidus) as well as with excessive levels of cortisol in the body (Cushing syndrome). Low levels of sodium can be seen with congestive heart failure, cirrhosis of the liver, kidney failure, and the syndrome of inappropriate antidiuretic hormone (SIADH).
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Test Rankings Do Not Reflect Data Collected Over Equivalent Time Frames
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Siemens Healthineers · Brochure S4 Portrait
epoc Blood Analysis System Optimize operations and improve outcomes at the point of care siemens-healthineers.us/epoc Transforming Care Delivery Right result. Right here. Right now. The epoc® Blood Analysis System is a handheld, wireless POC testing solution that provides blood gas, basic metabolic panel with hematocrit, and lactate results at the bedside in less than 1 minute. By moving patient testing to the bedside, patients, caregivers, and the laboratory benefit from a simpler, more efficient process that may improve turnaround times and operational efficiencies while reducing costs. Bringing efficiency to POC testing: key differentiating features Feature epoc I-STAT epoc System Benefit 13 critical tests from a single One Test Card minimizes required sample volume and Yes No blood sample compliments menu of all other cartridges configurations. Blood gas, basic metabolic panel with May enable faster clinical decisions along with blood hematocrit, and lactate on a single Test Yes No conservation. Card with results in less than 1 minute No refrigeration required. Minimizes need for Simplified inventory and quality Yes No management and quality control testing of multiple control management reagents. Monitoring and tracking of stability once removed from refrigeration are not required. Bar code eliminates risk Bar-coded Test Card Yes No of using an expired Test Card (and treating patients based on a potentially erroneous result). May preserve sample and reduce need for possible Calibration BEFORE sample application Yes No patient resticks. Room temperature-stable reagent with Test Cards always ready for use. No equilibration to Yes No up to 5 months of shelf-life room temperature required.
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