Test Overview
Test Methodology

GEM 5000 - ion-selevtive electrode, amperometric electrode, electrical conductivity, and optical absorbance

Test Usage

Performed at authorized locations by point of care operators. Determination of blood gases (pH, pCO2,PO2,SO2,HCO3), sodium, potassium, chloride, ionized calcium, glucose, lactate, hematocrit, and CO-Oximetry to aid in the diagnosis of a patient's acid/base status, electrolyte and metabolite balance, and oxygen delivery capacity. Blood gas analysis may be monitored during heart catheterization procedures.

Reference Range *

Analyte specific reference ranges are available in the GEM 5000 test procedure located on the POC website: https://www.pathology.med.umich.edu/point-of-care.

Test Limitations

•Specimens must be free of clots and fibrin strands.

Test Details
Analytic Time

45 seconds

Soft Order Code
PCBGA
MiChart Code
Ped Cath Blood Gas, Lytes, Art
Laboratory
Point of Care
Section
Point of Care
Specimen Requirements
Collection Instructions

Collect in heparinized syringe.

Special Handling

Samples must be tested within 15 minutes of draw time and within 5 minutes if measuring lactate. Sample must be tested immediately after exposing the sample to room air.

Rejection Criteria
Specimens; older than 15 minutes, containing bubbles, having prolonged exposure to room air, clotted, and/or grossly hemolyzed.
Normal Volume
3 mL whole blood
Minimum Volume
150 µL whole blood
Additional Information

For more test specific information, please refer to the test procedure found on the Michigan Medicine POC website: https://www.pathology.med.umich.edu/point-of-care

Billing
CPT Code
PH (82803), pCO2(82803), pO2(82803), sodium(84295), potassium(84132), chloride(82435), ionized calcium(82330), glucose(82947), lactate(83605), total hemoglobin(85018), HCO3(82803), sO2(82805)
LOINC
PH (2744-1), pCO2(2019-8), pO2(2703-7), sodium(32713-0), potassium(32713-0), chloride(41650-3), ionized calcium(34581-9), glucose(41651-1), lactate(2518-9), total hemoglobin(14775-1), anion gap(73581-1),HCO3(1960-4), sO2(2708-6), FIO2(19996-8)
NY State Approved
No