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Catalog ID Ammonia Ammonia

CPOE Test Name

Ammonia

Synonyms

NH4, NH3

Specimen Type

Plasma

Specimen Requirements

4 mL Dark Green-top (sodium heparin) tube

Causes for Rejection

Wrong container; hemolysis; not transported on ice;

specimen not received immediately after collection; improper labeling; insufficient quantity

Turn Around Time

Urgent/Emergent: 1 hr.

CPT / HCPCS Code

82140

Performing Lab

Core Laboratory, AD 3301 721-2120

Storage and Transport

Put on ice, transport immediately.

Special Instructions

The vendor states that the ammonia assay may be affected by cigarette smoking by either the patient or the specimen collection staff.

There is a significant positive bias with new Ammonia testing methodology which began Nov 6th, 2018. Results released after this date have approximately a 35% increase as compared to previous Ammonia results. Please take this change into consideration when interpreting these results.

Reference Values

 

0-3 days of age        10 - 107 umol/L

3 - 14 days of age      10 - 92 umol/L

15 days of age - 150 years      10 - 50 umol/L

Critical Values

0-3 days of age   critical high ≥ 108 umol/L

4 days of age and older   critical high ≥ 100 umol/L

EPIC EAP Test Code

LAB47