Home
HelpTest Code EPF Executive Panel
Specimen Requirements
| Fasting Required | Specimen Type | Preferred Container/Tube | Acceptable Container/Tube | Specimen Volume | Specimen Minimum Volume (allows for 1 repeat) |
Pediatric Minimum Volume (no repeat) |
|---|---|---|---|---|---|---|
| No | Serum and EDTA Whole Blood | Red Top Tube (RTT) and EDTA Lavendar Top Tube (LTT) | 3.0 mL (RTT) and 3.0 mL (LTT) | 1.0 mL (RTT) and 1.0 mL (LTT) |
Collection/Processing Instructions
Centrifuge and remove serum from cells within one hour. Test panel includes bilirubin which is light sensitive, minimize light exposure during storage/transport.
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Serum, Whole Blood | Refrigerate | <48 hours |
| Whole Blood | Ambient | <24 hours |
| Whole Blood | Refrigerate | >48 hours may be reported with additional comments |
Rejection Criteria
| Grossly hemolyzed samples |
|---|
| Clotted whole blood |
| Frozen whole blood |
| Serum specimens not separated from cells <2 hours |
| Whole blood diluted with IV or tissue fluid |
Test Components
Albumin, Alkaline Phosphatase, Alanine Amino Transferase, Aspartate Amino Transferase, Bicarbonate, Urea Nitrogen, Calcium, Chloride, Creatinine, Glucose, Potassium, Sodium, Total Bilirubin, Direct Bilirubin, Indirect Bilirubin, Gamma Glutamyl Transferase, Lactate Dehydrogenase, Total Protein, Anion Gap, Uric Acid, Phosphorus, Cholesterol, Triglycerides, LDL Cholesterol, A/G ratio, BUN/Creat Ratio, TSH, White Blood Cell count, Red Blood Cell count, Hemoglobin, Hematocrit, Mean Corpuscular Volume, Mean Corpuscular Hemoglobin, Mean Corpuscular Hemoglobin Concentration, Red Cell Distribution Width, Platelet, and Mean Platelet Volume
Test Information
Medicare patients must sign a waiver before specimen is collected since Medicare considers this a non-covered screening panel. Individual tests ordered for diagnostic purposes are covered.
Interferences
Hemolyzed samples will falsely increase K and AST
Exposure to light will falsely decrease TBIL
Reference Range Information
| Performing Location | Reference Range |
|---|---|
| Marshfield | See individual test listings for reference ranges. |
Marshfield Labs Performing Department
Marshfield Labs Chemistry
Performing Information
| Performing Location | Day(s) Test Performed | Analytical Time | Methodology/Instrumentation |
|---|---|---|---|
| Marshfield | Monday through Sunday | 2-4 hours | See individual tests for methodology/Beckman DXC, DxI and DxH800 |
CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 80053 | Metabolic panel, comprehensive | |||
| 84443 | TSH | |||
| 85027 | Hemogram/PLT | |||
| 82465 | Cholesterol | |||
| 82977 | GGT | |||
| 83615 | LDH | |||
| 84100 | Phosphorus | |||
| 84550 | Uric Acid | |||
| 82248 | Direct Bilirubin | |||
| 84478 | Triglyceride |
Outreach CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 80053 | Metabolic panel, comprehensive | |||
| 84443 | TSH | |||
| 85027 | Hemogram/PLT | |||
| 82465 | Cholesterol | |||
| 82977 | GGT | |||
| 83615 | LDH | |||
| 84100 | Phosphorus | |||
| 84550 | Uric Acid | |||
| 82248 | Direct Bilirubin | |||
| 84478 | Triglyceride |