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Test Code LAB1156 Renal/Hepatic Panel

Additional Codes

Test Name in EPIC EPIC Test Code Mnemonic
REN/HEPATIC PNL LAB1156 RNHEP

 

Useful For/Utility

Aids in diagnosis and management of conditions affecting kidney function

General health screening

Screening patients at risk of developing kidney disease

Management of patients with known kidney disease. Screening for liver damage, especially if someone has a condition or is taking a drug that may affect the liver.

Methodology

Profile Information:
Alanine Aminotransferase (ALT) Carbon Dioxide (CO2)
Albumin Chloride
Alkaline Phosphatase (ALP) Creatinine
Anion Gap (Calculation) Glucose
Aspartate Aminotransferase (AST)   Phosphorus
Bilirubin, Direct Potassium
Bilirubin, Total  Protein, Total
Blood Urea Nitrogen (BUN) Sodium
Calcium  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Clinical Information

A renal function panel could be ordered when a patient has risk factors for kidney dysfunction such as high blood pressure (hypertension), diabetes, cardiovascular disease, obesity, elevated cholesterol, or a family history of kidney disease. A renal function panel may also be ordered when someone has signs and symptoms of kidney disease, though early kidney disease often does not cause any noticeable symptoms. It may be initially detected through routine blood or urine testing.. Hepatic function panel results are not diagnostic of a specific condition; they indicate that there may be a problem with the liver. In a person who does not have symptoms or identifiable risk factors, abnormal liver test results may indicate a temporary liver injury or reflect something that is happening elsewhere in the body-such as in the skeletal muscles, pancreas, or heart. It may also indicate early liver disease and the need for further testing and periodic monitoring. Results of liver panels are usually evaluated together. Several sets of results from tests performed over a few days or weeks are often assessed together to determine if a pattern is present. Each person will have a unique set of test results that will typically change over time. A healthcare practitioner evaluates the combination of liver test results to gain clues about the underlying condition. Often, further testing is necessary to determine what is causing the liver damage or disease.

Specimen Requirements

Submit only 1 of the following specimens:

 

Preferred:

Specimen Type: Plasma

Container/Tube: Light-green top (lithium heparin gel)

Specimen Volume: 1 mL

Specimen Minimum Volume: 0.5 mL

Collection Instructions: 

1. Hemolyzed specimen is not acceptable.

2. Spin down and separate plasma from cells within 2 hours of draw.

3. If plunger filters are used, immediate removal of plasma is indicated unless an air gap can be created between the device and specimen.
Additional Information:

1. Protect specimen from light.

2. Avoid repeated freeze/thaw cycles.

3. If extreme lipemia-use ultracentrifuged specimen.

4. Label specimen appropriately (plasma).

 

Alternate:

Specimen Type: Serum

Container/Tube: Serum gel

Specimen Volume: 1 mL

Specimen Minimum Volume: 0.5 mL

Collection Instructions:

1. Hemolyzed specimen is not acceptable.

2. Spin down and separate serum from cells within 2 hours of draw.

3. If plunger filters are used, immediate removal of serum is indicated unless an air gap can be created between the device and specimen.
Additional Information:

1. Protect specimen from light.

2. Avoid repeated freeze/thaw cycles.

3. If extreme lipemia-use ultracentrifuged specimen.

4. Label specimen appropriately (serum).

Specimen Transport Temperature

Refrigerate 5 days/Ambient 8 hours OK/Frozen OK

Day(s) Test Set Up

Monday through Sunday

Performing Laboratory

Chemistry-

St. Joseph's - Baxter Clinic Lab, St. Joseph's - Brainerd Clinic Lab, St. Joseph's Medical Center Lab

Ashland Clinic Lab, Deer River Hospital Lab, Ely Clinic Lab, Hayward Clinic Lab, Hibbing Clinic Lab, International Falls Clinic Lab, Moose Lake Hospital Lab, Northern Pines Lab, Sandstone Hospital Lab, SMDC Clinical Lab, Spooner Clinic Lab, St. Mary's Hospital - Superior Lab, Virginia Hospital Lab

Ada Hospital Lab, Fargo Hospital Lab, Fosston Hospital Lab, Holy Trinity Hospital Lab, Park Rapids Clinic Lab, South University Clinic Lab, St. Mary's - Detroit Lakes Hospital Lab

Test Classification and CPT Coding

80053-Comprehensive metabolic panel

82248-Bilirubin, direct

84100-Phosphorus

Reference Values

ANION GAP CALCULATION

3-15

See individual test listings for all other reference values.