Test Overview of Metabolic Chemistry Panel
Primary screening test given to new patients and annually thereafter.Test Indications of Metabolic Chemistry Panel
- New patient.
- Annual physical.
- Preoperative.
Sample Collection for Metabolic Chemistry Panel
- Patient should not eat or drink anything except water for 8 to 12 hours prior to blood sample collection.
- Sample to lab consists of one refrigerated unopened spun barrier tube.
- Spin sample within 45 minutes of collection; be sure barrier forms a complete separation.
Your doctor or lab may have different instructions that supersede the above.
CPT CODES for Metabolic Chemistry Panel
CPT-Code | Description | Comments |
---|---|---|
80053 | ||
82465 | ||
82977 | ||
83615 | ||
84100 | ||
84478 | ||
84550 | ||
83718 | HDL |
Labs Performing Metabolic Chemistry Panel Test
Name of Lab | Lab Code | Estimated Cost | Processing Time | Comments |
---|---|---|---|---|
Sonora Quest | 31033 | 1 day | ||
Sonora Quest | 35811 | 1 day | Also includes Complete Blood Count. Also need 5 mL lavender top tube. | |
Sonora Quest | 31433 | 1 day | Also includes HDL-cholesterol |
Costs cited are subject to change and may be reduced by insurance or cash discounts and increased by sample collection fees.
Theory of Metabolic Chemistry Panel
Glucose
Urea Nitrogen, Blood (BUN)
Creatinine
Ratio BUN/Creatinine
Uric Acid
Sodium
Potassium
Chloride
Carbon Dioxide
Anion Gap
Value >= 14 mE/L suggests metabolic acidosis.
Osmolality (calculated)
Protein, Total
Albumin
Globulin
Ratio Albumin/Globulin
Cholesterol, Total
Triglycerides
Calcium
Phosphorus
Alkaline Phosphatase
GGT (Gamma Glutamyl Transferase)
Albumin
Globulin
Ratio Albumin/Globulin
Cholesterol, Total
Triglycerides
Calcium
Phosphorus
Alkaline Phosphatase
GGT (Gamma Glutamyl Transferase)
This enzyme is induced in response to a toxic load - such as excessive alcohol consumption or certain prescription medication [Myhill2018, pg 92].
ALT
AST
LDH (Lactate Dehydrogenase)
This enzyme necessary to clear lactate produced by anaerobic metabolism. According to [Myhill2018, pg 92], elevated LDH may suggest poor mitochondrial function.
Bilirubin, Total
High normal or high levels of bilirubin suggests Gilbert's Syndrome.
Even a high-normal bilirubin level points to slow detox. [Myhill2018, pg 92].
Unless specifically noted above, references used in the construction of this web
page include the following:
[FMU]
Lecture notes from Functional Medicine University.
[SCNM]
Lecture notes from Southwest College of Naturopathic Medicine.
[UT]
Lecture notes from the University of Tennessee graduate programs in
Chemistry, Microbiology, and Biochemistry.References regarding Metabolic Chemistry Panel