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22699 Metabolic Panel, Basic

Metabolic Panel, Basic
Test Code: MPB
Synonyms/Keywords
Chemistry Panel, Basic, Basic Metabolic Panel​, BMP, i-Stat Basic Metabolic Panel
Test Components

Bicarbonate, Urea Nitrogen, Total Calcium, Chloride, Creatinine, Glucose, Potassium, Sodium, Anion Gap, and Estimated glomerular filtration rate​

*i-Stat MPB includes all of the above tests EXCEPT has an Ionized Calcium, NOT a Total Calcium.

Useful For
Provides a quick check of kidney function, liver function, and electrolyte and fluid balance.​
Specimen Requirements
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
No​ ​Plasma/Serum​Lithium-heparin Plasma Separator (PST)​, Serum Separator Tube (SST)

Lithium or Sodium-heparin Green Top (GTT), Red Top Tube (RTT)

2 mL​0.5 mL​0.8 mL whole blood​
*​i-Stat only = Whole Blood​Lithium-heparin Green Top Tube (GTT)​​1 mL​200 uL ​
Collection Processing Instructions
Samples collected in a RTT or GTT must be removed from cells within one hour for storage or transport. Samples collected in gel barrier tubes must be removed from the primary tube prior to transporting to Marshfield. Do not send the primary collection tube.
 
Stat orders will be run locally on the i-Stat.  Non-stat orders will be sent to Marshfield for analysis.
i-Stat:  Sample must be tested within 10 minutes of collection.
Specimen Stability Information
Specimen Type Temperature Time
Plasma/Serum​ ​ ​ Ambient​ 1 day
Refrigerate​ 2 days​
Frozen​ 2 months​
​i-Stat Whole Blood ​Ambient ​10 minutes
Rejection Criteria
Grossly hemolyzed samples
​i-Stat testing:  clotted samples
​i-Stat testing:  anticoagulants other than lithium heparin
Interference
Hemolyzed samples will falsely increase K.​
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Bloomer​ ​​​Monday through Friday
​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​See Individual Test for Methodology/Beckman AU or i-Stat
​Cadott ​​​Monday through Friday
​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​See Individual Test for Methodology/Beckman AU or i-Stat
​Chetek ​​​Monday through Friday
​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​​See Individual Test for Methodology/Beckman AU or i-Stat
Chippewa Falls​ ​​Monday through Friday ​Less than 2 hours​ See Individual Test for Methodology/Siemens Dimension
Colby/Abbotsford​ ​​​Monday through Friday
​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​See Individual Test for Methodology/Beckman AU or i-Stat
​Cornell ​​​Monday through Friday
​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​See Individual Test for Methodology/Beckman AU or i-Stat
​Cumberland ​​​Monday through Friday
​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​See Individual Test for Methodology/Beckman AU or i-Stat
​Diagnostic Treatment Center ​Monday through Sunday​ ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
Eagle River​ ​​​Monday through Friday
​​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​​See Individual Test for Methodology/Beckman AU or i-Stat
​Eau Claire ​Monday through Sunday​ ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
​Flambeau Hospital ​Monday through Sunday​ ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
Hayward​ ​​​Monday through Friday
​​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​See Individual Test for Methodology/Beckman AU or i-Stat
​Ladysmith Medical Center ​​Monday through Sunday ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
​Lake Hallie ​Monday through Sunday​ ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
​Lakeview Medical Center ​Monday through Sunday​ ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
Marshfield​ Monday through Sunday​ Less than 2 hours​ See Individual Test for Methodology/Beckman AU​
​Mercer ​​​Monday through Friday
​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​See Individual Test for Methodology/Beckman AU or i-Stat
Merrill​ ​Monday through Saturday ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
​Minocqua ​Monday through Sunday​ ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
Mosinee​ ​​​Monday through Friday
​​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​See Individual Test for Methodology/Beckman AU or i-Stat
​Neillsville​Monday through Sunday​​Less than 2 hours​See Individual Test for Methodology/Siemens Dimension​
​Oakwood ​​​Monday through Friday
​​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 See Individual Test for Methodology/Beckman AU or i-Stat
​Phillips ​​​Monday through Friday
​​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​​See Individual Test for Methodology/Beckman AU or i-Stat
​Rhinelander ​Monday through Friday
​​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 See Individual Test for Methodology/Beckman AU or i-Stat​
Stettin​ ​​​Monday through Friday
​​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​​See Individual Test for Methodology/Beckman AU or i-Stat
Stevens Point​ ​​Monday through Friday ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
​Wausau ​Monday through Sunday​ ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
​Wisconsin Rapids ​Monday through Friday ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
​Wittenberg ​​​Monday through Friday
​​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​​See Individual Test for Methodology/Beckman AU or i-Stat
Reference Range Information
Performing Location Reference Range
All Performing Sites
See individual test listings for reference ranges.
​​​ ​ See Critical Value List for list of current critical values
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
80048 ​ ​ ​ ​ ​MPB with total Calcium
​80047 ​ ​ ​ ​​i-Stat MPB with Ionized Calcium
Synonyms/Keywords
Chemistry Panel, Basic, Basic Metabolic Panel​, BMP, i-Stat Basic Metabolic Panel
Test Components

Bicarbonate, Urea Nitrogen, Total Calcium, Chloride, Creatinine, Glucose, Potassium, Sodium, Anion Gap, and Estimated glomerular filtration rate​

*i-Stat MPB includes all of the above tests EXCEPT has an Ionized Calcium, NOT a Total Calcium.

Ordering Applications
Ordering Application Description
​Centricity

​a. Basic Metabolic Panel (MBP, Chem 7)

b. MPB (Metabolic Panel Basic)

​Cerner ​Basic Metabolic Panel (COMMON)
​COM ​Metabolic Panel, Basic
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
No​ ​Plasma/Serum​Lithium-heparin Plasma Separator (PST)​, Serum Separator Tube (SST)

Lithium or Sodium-heparin Green Top (GTT), Red Top Tube (RTT)

2 mL​0.5 mL​0.8 mL whole blood​
*​i-Stat only = Whole Blood​Lithium-heparin Green Top Tube (GTT)​​1 mL​200 uL ​
Collection Processing
Samples collected in a RTT or GTT must be removed from cells within one hour for storage or transport. Samples collected in gel barrier tubes must be removed from the primary tube prior to transporting to Marshfield. Do not send the primary collection tube.
 
Stat orders will be run locally on the i-Stat.  Non-stat orders will be sent to Marshfield for analysis.
i-Stat:  Sample must be tested within 10 minutes of collection.
Specimen Stability Information
Specimen Type Temperature Time
Plasma/Serum​ ​ ​ Ambient​ 1 day
Refrigerate​ 2 days​
Frozen​ 2 months​
​i-Stat Whole Blood ​Ambient ​10 minutes
Rejection Criteria
Grossly hemolyzed samples
​i-Stat testing:  clotted samples
​i-Stat testing:  anticoagulants other than lithium heparin
Interference
Hemolyzed samples will falsely increase K.​
Useful For
Provides a quick check of kidney function, liver function, and electrolyte and fluid balance.​
Test Components

Bicarbonate, Urea Nitrogen, Total Calcium, Chloride, Creatinine, Glucose, Potassium, Sodium, Anion Gap, and Estimated glomerular filtration rate​

*i-Stat MPB includes all of the above tests EXCEPT has an Ionized Calcium, NOT a Total Calcium.

Reference Range Information
Performing Location Reference Range
All Performing Sites
See individual test listings for reference ranges.
​​​ ​ See Critical Value List for list of current critical values
For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Bloomer​ ​​​Monday through Friday
​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​See Individual Test for Methodology/Beckman AU or i-Stat
​Cadott ​​​Monday through Friday
​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​See Individual Test for Methodology/Beckman AU or i-Stat
​Chetek ​​​Monday through Friday
​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​​See Individual Test for Methodology/Beckman AU or i-Stat
Chippewa Falls​ ​​Monday through Friday ​Less than 2 hours​ See Individual Test for Methodology/Siemens Dimension
Colby/Abbotsford​ ​​​Monday through Friday
​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​See Individual Test for Methodology/Beckman AU or i-Stat
​Cornell ​​​Monday through Friday
​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​See Individual Test for Methodology/Beckman AU or i-Stat
​Cumberland ​​​Monday through Friday
​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​See Individual Test for Methodology/Beckman AU or i-Stat
​Diagnostic Treatment Center ​Monday through Sunday​ ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
Eagle River​ ​​​Monday through Friday
​​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​​See Individual Test for Methodology/Beckman AU or i-Stat
​Eau Claire ​Monday through Sunday​ ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
​Flambeau Hospital ​Monday through Sunday​ ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
Hayward​ ​​​Monday through Friday
​​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​See Individual Test for Methodology/Beckman AU or i-Stat
​Ladysmith Medical Center ​​Monday through Sunday ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
​Lake Hallie ​Monday through Sunday​ ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
​Lakeview Medical Center ​Monday through Sunday​ ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
Marshfield​ Monday through Sunday​ Less than 2 hours​ See Individual Test for Methodology/Beckman AU​
​Mercer ​​​Monday through Friday
​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​See Individual Test for Methodology/Beckman AU or i-Stat
Merrill​ ​Monday through Saturday ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
​Minocqua ​Monday through Sunday​ ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
Mosinee​ ​​​Monday through Friday
​​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​See Individual Test for Methodology/Beckman AU or i-Stat
​Neillsville​Monday through Sunday​​Less than 2 hours​See Individual Test for Methodology/Siemens Dimension​
​Oakwood ​​​Monday through Friday
​​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 See Individual Test for Methodology/Beckman AU or i-Stat
​Phillips ​​​Monday through Friday
​​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​​See Individual Test for Methodology/Beckman AU or i-Stat
​Rhinelander ​Monday through Friday
​​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 See Individual Test for Methodology/Beckman AU or i-Stat​
Stettin​ ​​​Monday through Friday
​​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​​See Individual Test for Methodology/Beckman AU or i-Stat
Stevens Point​ ​​Monday through Friday ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
​Wausau ​Monday through Sunday​ ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
​Wisconsin Rapids ​Monday through Friday ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
​Wittenberg ​​​Monday through Friday
​​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​​See Individual Test for Methodology/Beckman AU or i-Stat
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
80048 ​ ​ ​ ​ ​MPB with total Calcium
​80047 ​ ​ ​ ​​i-Stat MPB with Ionized Calcium
For most current information refer to the Marshfield Laboratory online reference manual.