Diabetes, Advancing Chronic Kidney Disease Management Panel

Diabetes, Advancing Chronic Kidney Disease Management Panel

Test Code

91713
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.
91713
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 ...

Test Resources

Test FAQ

CKD-EPI Creatinine Equation (2021) for Creatinine-based eGFR

Algorithm

Testing for Comorbidities and Complications of Chronic Kidney Disease

Test Guide

Laboratory Testing for Diabetes Diagnosis and Management

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

Patient Preparation

Patient should fast 9-12 hours prior to collection

Methodology

See individual tests

Reference Range(s)

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LOINC® Codes, Performing Laboratory

Service Area must be determined
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
Patient should fast 9-12 hours prior to collection

Methodology

See individual tests

Reference Range(s)

See individual tests
Service Area must be determined

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

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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

Setup Schedule

Service Area must be determined
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
2 mL (1 mL minimum) frozen serum for PTH, Intact • Whole blood from a full EDTA (tan-top) tube
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
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.
See individual tests
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
See individual tests
Service Area must be determined
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.
Test Details

Clinical Significance

Test Resources

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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