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HelpTest Code LACV0H Lactate, Venous, 0 Hr, Sepsis
Useful For
Measurements of lactic acid are useful in the diagnosis and treatment of lactic acidosis (abnormally high acidity of the blood).
This test code is specifically for Sepsis Protocol patient testing of venous lactates. It will order both a baseline venous lactate (LACV0H) and a 3 hour post baseline venous lactate (LACV3H).
Synonyms/Keywords
Lactic Acid, Venous, L-Lactate, LA, Sepsis, Protocol
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 | Gray Top Tube (GYTT) | 1 mL | 0.3 mL |
Collection/Processing Instructions
Note: Test is only orderable at Marshfield Medical Center hospital based laboratories.
Collect Gray Top Tube and transport to lab promptly after collection.
Centrifuge and remove plasma from the cells within 60 minutes.
Specimen must be drawn WITHOUT a tourniquet and WITHOUT hand clenching.
If the baseline LACV0H is ≤2.0 mmoL/L, the LACV3H is discontinued. If the LACV0H is ≥2.1, then the LACV3H is collected and reported.
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Plasma | Ambient | 2 hours |
| Refrigerate | 48 hours | |
| Frozen | >48 hours |
Rejection Criteria
Significant icterus
Reference Range Information
| Performing Location | Reference Range |
|---|---|
| All Performing Sites | 0.5-2.0 mmoL/L |
Marshfield Labs Performing Department
Marshfield Labs Chemistry
Performing Information
| Performing Location | Day(s) Test Performed | Analytical Time | Methodology/Instrumentation |
|---|---|---|---|
| Beaver Dam | Monday through Sunday | Less than 2 hours | Enzymatic Fixed Assay/Beckman AU |
| Weston | Monday through Sunday | Less than 2 hours | Enzymatic Fixed Assay/Beckman AU |
| Eau Claire | Monday through Sunday | Less than 2 hours | Enzymatic Fixed Assay/Beckman AU |
| Ladysmith | Monday through Sunday | Less than 2 hours | Enzymatic Fixed Assay/Beckman AU |
| Lakeview Medical Center | Monday through Sunday | Less than 2 hours | Enzymatic Fixed Assay/Beckman AU |
| Marshfield | Monday through Sunday | Less than 2 hours | Enzymatic Fixed Assay/Beckman AU |
| Minocqua | Monday through Sunday | Less than 2 hours | Enzymatic Fixed Assay/Beckman AU |
| Neillsville | Monday through Sunday | Less than 2 hours | Photometric Biochromatic Endpoint/Siemens Dimension |
| Park Falls | Monday through Sunday | Less than 2 hours | Enzymatic Fixed Assay/Beckman AU |
CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 83605 |
Outreach CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 83605 |
Ordering Applications
| Ordering Application | Description |
|---|---|
| Cerner | Lactate Sepsis Protocol, Venous |