Sign in →

Test Code EXEC Executive Screen Panel

Important Note

For outreach ordering only. Not available for internal ordering.

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 Red Top Tube (RTT)   3.0 mL 1.0 mL  

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 Refrigerate 2 days

Rejection Criteria

Grossly hemolyzed samples
Specimens not separated from cells <2 hours

Test Components

Albumin, Alkaline Phosphatase, Alanine Amino Transferase, Aspartate Amino Transferase, Bicarbonate, Urea Nitrogen, Calcium, Chloride, Creatinine, Glucose, Potassium, Sodium, Total Bilirubin, Gamma Glutamyl Transferase, Lactate Dehydrogenase, Total Protein, Anion Gap, Uric Acid, Phosphorus, Cholesterol, Triglycerides, LDL Cholesterol, A/G ratio, BUN/Creat Ratio, TSH. (Note: LDL Cholesterol is only calculated and reported if an HDL is also ordered, and TRIG value is ≤ 400 mg/dL.)

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

Outreach CPT Codes

CPT Modifier
(if needed)		 Quantity Description Comments
80053     Metabolic panel, comprehensive  
84443     TSH  
82465     Cholesterol  
82977     GGT  
83615     LDH  
84100     Phosphorus  
84478     Triglyceride  
84550     Uric Acid