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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 non-gel tubes must be centrifuged, plasma/serum removed, and aliquoted from cells within one hour.
Samples collected in gel tubes should be centrifuged within one hour of collection
Samples being sent from regional/outreach centers should not be sent tubes on gel, please aliquot and send.
 
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​ 7 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​
​Samples not centrifuged and removed from cells within 2 hours
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 Abbott 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 Abbott 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 Abbott 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 Abbott 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 Abbott 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 Abbott 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 Abbott i-Stat
​Ladysmith Medical Center ​​Monday through Sunday ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
​Lake Hallie ​Monday through Friday
​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​Hexokinase-UV/NAD Endpoint Assay/ Beckman AU
Amperometrical-Enzymatic/i-Stat
​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​
​Menomonie​Monday through Friday​Less than 2 hours​See Individual Test for Methodology/Abbott i-Stat
​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 Abbott 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 Abbott 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 Abbott i-Stat
​Rhinelander ​Monday through Friday
​​1 day (sent to Marshfield)
 See Individual Test for Methodology/Beckman AU ​
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 Abbott 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 Abbott 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 non-gel tubes must be centrifuged, plasma/serum removed, and aliquoted from cells within one hour.
Samples collected in gel tubes should be centrifuged within one hour of collection
Samples being sent from regional/outreach centers should not be sent tubes on gel, please aliquot and send.
 
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​ 7 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​
​Samples not centrifuged and removed from cells within 2 hours
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 Abbott 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 Abbott 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 Abbott 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 Abbott 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 Abbott 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 Abbott 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 Abbott i-Stat
​Ladysmith Medical Center ​​Monday through Sunday ​Less than 2 hours​ ​See Individual Test for Methodology/Siemens Dimension
​Lake Hallie ​Monday through Friday
​1 day (sent to Marshfield)
* stat order on i-Stat run locally = Less than 2 hours​
 ​Hexokinase-UV/NAD Endpoint Assay/ Beckman AU
Amperometrical-Enzymatic/i-Stat
​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​
​Menomonie​Monday through Friday​Less than 2 hours​See Individual Test for Methodology/Abbott i-Stat
​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 Abbott 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 Abbott 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 Abbott i-Stat
​Rhinelander ​Monday through Friday
​​1 day (sent to Marshfield)
 See Individual Test for Methodology/Beckman AU ​
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 Abbott 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 Abbott 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.