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CO-OXIMETER PANEL (087-5115)

Test Mnemonic:

AC COOX (arterial) or AC VCOOX (venous)

Methodology:

Polychromater

Performed:

Clinical Chemistry High Volume Lab (room 5.134 McCullough), Point-of-Care, ISCU, SICU, MICU, OR, PICU, and TDC4A

Turnaround Time:

STAT: 10 minutes; CODE: 5 minutes

Specimen Requirements: Test Includes: Total Hemoglobin (THb), Oxygen Saturation (%O2Hb, O2 Sat), Carboxyhemoglobin (%COHb), Methemoglobin (%MetHb), Oxygen Content (Vol% O2)

Collect: Especially where measurement of Oxygen Saturation (%O2Hb) is critical, care should be taken to avoid drawing air into the syringe. Bubbles should be removed from the sample immediately.

Storage/Transport: Place specimen on ice and immediately transport to the lab (within 15 minutes after collection)

Causes for Rejection: Gross hemolysis; clotted, improperly labeled, or QNS specimen; inappropriate container; blood leaking from syringe; large air space or bubbles in syringe; syringes with needles attached; and specimens not delivered to the lab within allotted time

Clinical Information:

If applicable, state clinical information that is required to be provided with specimen.

Reference Range:

Reports may vary based on instrumentation as well as patient age and gender

Note:

Blood must be drawn anaerobically into gas-tight glass or plastic syringes, or in vacuum tubes (unless Total Hemoglobin only is requested). If sequential pH/Blood Gas Analysis is to be performed on the same sample, 1000-unit sodium or lithium heparin should be used.

CPT 4 Code:

82803

7/10/12 Reviewed by Tho Nguyen, MT(ASCP)

When ordering tests for which Medicare or Medicaid reimbursement will be sought, physicians should only order tests that are medically necessary for the diagnosis or treatment of the patient.  Components of the organ or disease panels may be ordered individually.  The diagnostic information must substantiate all tests ordered and must be in the form of an ICD-9 code or its verbal equivalent.

   
 

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