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Test Code 00024 Glucose, Fasting

Additional Codes

Atlas

Test Code Test Name
GLUF Glucose, Fasting

 

Specimen Requirements

Specimen must arrive within 72 hours of draw.

 

Submit only 1 of the following specimens:

 

Plasma

Container/Tube: Green-top (heparin) gel tube or grey-top (potassium oxalate/sodium fluoride) tube

Specimen Volume: 0.5 mL of heparinized plasma or potassium oxalate/sodium fluoride plasma
Transport Temperature: Refrigerate
Collection Instructions: Fasting (8 hour). Centrifuge tube within 1 hour of draw. For grey-top (potassium oxalate/sodium fluoride) tube(s), do not centrifuge. Forward promptly.

Note: 1. Medicare frequency limitations exist for this test in addition to diagnosis requirements. Click on link for list of medically necessary diagnoses: http://www.munsonhealthcare.org/medical-necessity.  See Advance Beneficiary Notice of Noncoverage (ABN) form in Special Instructions.

2. Indicate plasma.

3. Label specimen appropriately (plasma).


Serum
Container/Tube: Gold-top serum gel tube

Specimen Volume: 0.5 mL of serum
Transport Temperature: Refrigerate
Collection Instructions: Fasting (8 hour). Centrifuge tube within 1 hour of draw. Forward promptly.

Note: 1. Medicare frequency limitations exist for this test in addition to diagnosis requirements.  Click on link for list of medically necessary diagnoses: http://www.munsonhealthcare.org/medical-necessity. See Advance Beneficiary Notice of Noncoverage (ABN) form in Special Instructions.

2. Indicate serum.

3. Label specimen appropriately (serum).

Performing Laboratory

Munson Healthcare Laboratories

Methodology

Glucose Oxidase

CPT Code(s)

82947

Reference Values

For fasting specimens: 70-99 mg/dL
Values of 100-125 mg/dL are considered impaired/prediabetes according to ADA guidelines.

Critical values (automatic call-back):

      Pediatric patients up to 21 years old:    ≤ 35 mg/dL, ≥ 200 mg/dL 

      Patients 21 years and older  ≤ 50mg/dL, ≥500 mg/dL

Day(s) Test Set Up

Monday through Sunday

Billing

Medicare frequency limitations exist for this test in addition to diagnosis requirements. Click on link for list of medically necessary diagnoses and frequency limits: Medicare NCD GLU Jan26. Click on link for Advance Beneficiary Notice of Noncoverage form: ABN Form