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Test Code PTHOR Parathyroid Hormone (PTH), Intraoperative LAB3245

Performing Laboratory

UnityPoint The Finley Hospital

Test Method

Chemiluminescent immunoassay; Roche cobas Pro

Performance

Testing is performed Monday through Sunday.

Typically completed within 30 minutes after the
specimen arrives.

Specimen Requirement

EDTA plasma is the specimen of choice. 500μL.

Serum is also acceptable sample type as long as the tube is spun immediately after collection.

Gel tubes are acceptable.

PTH EDTA specimens are stable for 2 days at 15-25°C, 3 days at 2-8°C, and 6 months at -20°C.

PTH serum specimens are stable for 8 hours at 15-25°C, 2 days at 2-8°C, and 6 months at -20°C. 

Useful For

Interoperative mode testing in patients under-going
parathyroidectomy for primary hyperparathyroidism,

The following practices are recommended:

  • Baseline samples should be drawn at pre-operation/exploration
    and pre-excision.
  • Ordering pattern for the PTH-Intraoperative is typically
    baseline and then samples starting at about 10 minutes following
    resection and repeated until a 50% or better reduction from the
    baseline value is
    realized.           

Reference Values

15-65 pg/mL

50% or better reduction from baseline value.

CPT Code Information

83970: Chemistry: Parathormone (parathyroid hormone)

LOINC Code Information

72203-3 Parathyrin.Intact Intraoperative Panel-Serum Or
Plasma