Question on Blood Work test needed...
Hi All...
I've been a lurker for sometime and finally have a question that I need an answer to. I will be 6 years out in Jan. and finally my Dr. has been asking what kinds of blood work I require this far out to make sure everything is ok. He readily admitted today that he wasn't sure what I needed as a patient as he has only 2 others that have had this surgery.
So if any of you have a list of what he should be testing for to make sure my levels are where they are suppose to be that would greatly be appriciated!!
Thanks so much
Tammy Poole
Lab Tests recommended for Gastric Bypass patients
Regularly (every 3-6 months depending on your previous results)
Keep track of any levels that are declining from one set of tests to the next, even if not yet in the low range. Make any corrections necessary in your diet and vitamin regimen before the levels get too low.
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*YEARLY -DEXA SCAN for bone density. |
CPT Code |
Test |
Description |
85025 |
CBC w/diff |
Complete Blood Count with Differential |
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Test includes: Hematocrit; hemoglobin; mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH); mean corpuscular hemoglobin concentration (MCHC); red cell distribution |
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width (RDW); percentage and absolute differential counts; platelet count; red cell count; white blood cell count |
80053 |
CMP |
Comprehensive Metabolic Panel Test includes: A:G ratio; albumin, serum; alkaline phosphatase, serum; ALT (SGPT); AST (SGOT); bilirubin, total; BUN; BUN:creatinine ratio; calcium, serum; carbon dioxide, total; chloride, serum; |
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creatinine, serum; globulin, total; glucose, serum; potassium, serum; protein, total, serum; sodium, |
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serum |
80061 |
LP |
Lipid Panel With Total Cholesterol:HDL Ratio |
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Test includes: Cholesterol, total; high-density lipoprotein (HDL) cholesterol; low-density lipoprotein (LDL) cholesterol (calculation); triglycerides; very low-density lipoprotein (VLDL) cholesterol |
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(calculation); Total cholesterol:HDL ratio |
82977 |
GGT |
Gamma Glutamyl Transpeptidase (GGT). Use: A biliary enzyme that is especially useful in the |
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diagnosis of obstructive jaundice, intrahepatic cholestasis, and pancreatitis. GGT is more responsive to biliary obstruction than are aspartate aminotransferase (AST) (SGOT) and alanine |
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aminotransferase (ALT) (SGPT). |
84134 |
Pre-albumin |
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83615 |
LD or LDH |
Lactic Acid Dehydrogenase. Use: diagnosing anemias, hypothyrodism, liver diseases. |
84100 |
PO4 |
Inorganic Phosphate, Blood. Use: parathyroid issues, liver disease, malnourishment, vitamin |
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deficiencies, osteomalacia, |
84550 |
UA |
Uric Acid, Serum. Use: gout, dehydration, anemias, low protein intake |
718 |
Phosphorus inorganic |
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82607; |
B12 & Folate |
Vitamin B12 and Folates levels. |
82746 |
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4052 |
Vitamin B-1 |
Thiamin |
84207 |
Vitamin B-6 |
Pyridoxine |
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83540; |
Fe & TIBC |
Iron and Total Iron Binding Capacity (TIBC). |
83550 |
Ferritin |
Test includes: Percent of saturation; serum iron; total iron binding capacity; unsaturated iron binding capacity iron stores. |
84446; |
Vitamins |
Vitamins A & E. Requires patient to fast for 48 hours prior to collection, Specimen must be |
84590 |
A&E |
protected from light and frozen. Use: check for vitamin deficiency |
82306 |
Vitamin D |
Vitamin D, 25-Hydroxy (Cholecalciferol Metabolite; 25-Hydroxycalciferol; 25-OH-D; Vitamin D3 |
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Metabolite). |
84436; |
Thyroid |
Thyroid Profile II (Comprehensive) |
84443; |
Panel |
Test includes: Free thyroxine index (FTI); T3 uptake (THBR); thyroid-stimulating hormone (TSH); |
84479; |
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thyroxine (T4); tri-iodothyronine (T3) |
84480 |
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84630 |
Zinc |
Zinc, Serum. Use: monitor nutritional deficiency |
83970 |
PTH Intact |
Parathyroid Hormone (PTH), Intact. Requires overnight fast. Use: Diagnosis of parathyroid disease |
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and other diseases of calcium homeostasis. PTH is secreted in response to decrease in serum calcium |
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levels by increasing the renal reabsorption of calcium and lowering reabsorption of phosphorus. |
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84630 |
Zinc |
Zinc, Serum. Use: monitor nutritional deficiency |
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31789 |
Homocysteine, cardio |
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83921 |
MMA |
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83735 |
Mg, RBC |
Magnesium, RBC. Use: evaluate magnesium deficiency |
367 |
cortisol |
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84255 |
selenium |
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83036 |
Hgb A1c |
Hemoglobin (Hgb) A1c With MBG Estimation. Used to estimate mean glucose levels over time. |
* 83937 - osteocalcin
* 82525 - Copper
* 84597 - Vitamin K
Diagnosis codes:
244.9 hypothyroidism
250.0 diabetes