Diabetes, Advancing Chronic Kidney Disease Management Panel

Test code

91713

CPT code(s)*

80051, 82570, 82043, 82565, 85018, 83970, 82310, 84100, 82306

**CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.

Not offered in Quest Nichols Institute - Chantilly, VA | Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano. Please provide Service Area Information to find available tests you can order.

In-home collection is not available in your area through Quest Mobile.

Clinical significance

Diabetes, Advancing Chronic Kidney Disease Management Panel - This panel is designed for individuals diagnosed as having diabetes mellitus whose kidney disease has advanced to Stage 3/4 impairment. The panel affords the opportunity to assess electrolytes, phosphorus, serum creatinine/eGFR, hemoglobin, microalbumin, parathyroid hormone, calcium, and vitamin D. The grouping of these tests, readily identifiable as elements that adhere to guideline recommendations, is intended to facilitate the ready adherence to professional society clinical practice guidelines. Components of the testing related to the Management of CKD in diabetes, as outlined in the Standards of Medical…

Test resources

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Details

Test details

Includes

Electrolyte Panel (Carbon Dioxide, Chloride, Potassium, Sodium)
Albumin, Random Urine with Creatinine
Creatinine, Serum
Hemoglobin
PTH, Intact and Calcium
Phosphate (as Phosphorus)
Vitamin D, 25-Hydroxy, Total, Immunoassay

Methodology

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Specimen requirements
Patient preparation	Patient should fast 9-12 hours prior to collection
Preferred specimen(s)	3 mL serum and Whole blood collected in one full EDTA (lavender-top) tube and 1.5 mL plasma collected for PTH, Intact in an EDTA (lavender-top) tube and 10 mL random urine - no preservative
Alternative specimen(s)	2 mL (1 mL minimum) frozen serum for PTH, Intact • Whole blood from a full EDTA (tan-top) tube
Minimum volume	1 mL serum • 1 mL whole blood collected in an EDTA (lavender-top) tube or 0.5 mL whole blood collected in a Microtainer EDTA tube • 1 mL plasma • 2 mL random urine
Collection instructions	Whole blood: Maintain specimen at room temperature. Do not refrigerate. If multiple draw, collect EDTA (lavender-top) tube last. Traumatic draw can introduce thromboplastin and trap WBC and platelets. Refrigeration can precipitate fibrin and trap WBC and platelets. Plasma: Centrifuge and transfer EDTA plasma to a transport tube. Label as PLASMA for the PTH, Intact. Note: If drawn with lead testing, EDTA (tan-top) is required.
Transport temperature	See individual tests
Specimen stability	Serum for Electrolytes, Phosphorus and Creatinine Room temperature: 48 hours Refrigerated: 72 hours Frozen: 28 days Serum for 25OH-Vit D Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days Serum for Calcium Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days Whole blood Room temperature: 48 hours Refrigerated: 48 hours (may cause platelet clumping) Frozen: Unstable EDTA plasma for PTH, Intact Room temperature: 48 hours Refrigerated: 72 hours Frozen: 24 hours Serum for PTH, Intact Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 28 days Random urine Room temperature: 7 days Refrigerated: 7 days Frozen 28 days
Reject criteria	See individual tests

Reference range(s)

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LOINC® codes

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Service Area Information

Performing lab & setup schedule

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Service Area Information

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

*The CPT codes provided are based on AMA guidance and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

This material contains content from LOINC® (http://loinc.org). The LOINC Table, LOINC Table Core are copyright © 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license.

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