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