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Test Code GTT2  Oral Glucose Tolerance Test, Plasma or Serum

Additional Codes

Compendium Code (iatric): L303.0910

Performing Laboratory

St. Lukes Hospital Laboratory

Methodology

Enzymatic/Hexokinase

Specimen Requirements


Patient Preparation:Patient should be fasting.

 

Performance of Test:

1. Draw blood for a fasting glucose level.

Note:  1. If result is abnormal (<60 mg/dL or >99 mg/dL), cancel test and inform ordering physician.

2. If result is normal (60-99 mg/dL), continue as follows:

 

2. Obtain 75 g of glucose solution.

3. If patient is <100 pounds, a smaller dose of glucose solution should be calculated by the laboratory.

4. Have patient consume glucose solution within 5 minutes.

5. Start timing from first sip.

6. Draw specimen at 2-hours post glucose solution ingestion.

Note:  If patient cannot completely consume glucose solution (or cannot keep it down) or drinks part of the glucose solution and spills the rest, the test must be cancelled and rescheduled.

 

Specimen Collection:

Submit only 1 of the following specimens:
 
Plasma

Draw blood in a green-top (lithium heparin) plasma gel tube(s). Spin down and send 1 mL of lithium heparin plasma refrigerated.
Note:  1. Indicate time of draw and plasma on request form.
2. Label specimen appropriately (time of draw and plasma).
 
Serum
Draw blood in a serum gel tube(s). Spin down and send 1 mL of serum refrigerated.
Note:  1. Indicate time of draw and serum on request form.
2. Label specimen appropriately (time of draw and serum).

 

Unspun specimens must be transported at ambient temperature and arrive to the laboratory within one hour of draw.

Reference Values

The corresponding categories, when the oral glucose tolerance test is used, are the following:

2-Hour postload glucose <140 mg/dL:  normal glucose tolerance

2-Hour postload glucose 140-199 mg/dL:  impaired glucose tolerance

2-Hour postload glucose ≥200 mg/dL:  provisional diagnosis of diabetes

Day(s) Test Set Up

Monday through Friday

Test Classification and CPT Coding

CPT: 82951 - 3 specimens

CPT: 82952 - each additional specimen as indicated