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HelpTest Code GHP General Health Panel (HGMPA, TSH, MPC)
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 | Plasma/Serum AND Whole Blood | Lithium-heparin Plasma Separator (PST), AND EDTA Lavender Top (LTT) | Serum Separator Tube (SST), Lithium or Sodium-heparin Green Top (GTT) | 2 mL Plasma/Serum AND 3 mL EDTA whole blood | 1 mL Plasma/Serum AND 1 mL EDTA whole blood |
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Plasma/Serum | Ambient | 8 hours |
| Refrigerate | 2 days | |
| Frozen | 30 days |
Rejection Criteria
Grossly hemolyzed samples
Test Components
Test Panel includes CBC with automated differential, thyroid stimulating hormone, and complete metabolic panel
Test Information
This panel includes: Comprehensive Metabolic Panel (MPC), TSH, and CBC with Auto Differential (HGMPA). Medicare considers this a screening panel and therefore will not pay for this panel. The individual tests will be covered by Medicare for diagnostic purposes per their coverage policies.
Reference Range Information
| Performing Location | Reference Range |
|---|---|
| All Performing Sites | 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 |
|---|---|---|---|
| Chippewa Falls | Monday through Friday | 2 hours | See individual tests for Methodology |
| Weston | Monday through Sunday | Less than 2 hours | See individual tests for Methodology |
| Eau Claire | Monday through Sunday | Less than 2 hours | See individual tests for Methodology |
| Park Falls | Monday through Sunday | Less than 2 hours | See individual tests for Methodology |
| Rice Lake | Monday through Sunday | Less than 2 hours | See individual tests for Methodology |
| Marshfield | Monday through Sunday | Less than 2 hours | See individual tests for Methodology |
| Minocqua | Monday through Sunday | Less than 2 hours | See individual tests for Methodology |
| Neillsville | Monday through Sunday | Less than 2 hours | See individual tests for Methodology |
| Stevens Point | Monday through Friday | Less than 2 hours | See individual tests for Methodology |
| Wisconsin Rapids | Monday through Friday | Less than 2 hours | See individual tests for Methodology |
CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 80050 |
Outreach CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 80050 |
Ordering Applications
| Ordering Application | Description |
|---|---|
| Cerner | General Health Panel |