New Laboratory Test Panels into Epic

Effective today, six panels of clinical chemistry testing will be available for ordering in Epic.  Three of these panels are Centers for Medicare and Medicaid Services (CMS)-approved panels.  Similar to existing panels such as Basic Metabolic Panel (Epic #LAB15) and Complete Blood Count (Epic #LAB294), these new panels are orderable as a single unit and may also be cancelled as a single order.  This differs from the previous situation where these panels were constructed in Epic order sets as groups of individual tests.

In terms of patient charges, the CMS panels (CMP, Renal Panel, Hepatic Function Panel) will bill with the corresponding CPT code for the group of tests.  To be consistent between panels, Basic Metabolic Panel (Epic #LAB15), Lipid Panel (Epic #LAB18), Electrolyte Panel (Epic #LAB941) will also be billed with the corresponding group CPT code.  If individual tests within these panels are cancelled (e.g., insufficient specimen available), the remaining tests will be billed individually.  The Chem 6 Panel, Chem 7 Panel, and Liver Panel will bill for the individual tests.

Duplicate rules will be in place to cancel testing if panels are ordered that overlap with other testing order for the same phlebotomy.  Similar duplicate checking already exists for overlaps with other panels such as Basic Metabolic Panel.  Order sets and preference lists within Epic have been updated to the new order codes.

Details of the new panels are included in the two tables below.

Table 1: Panel Names and Order Codes

Panel Name Epic # CMS Panel?
Comprehensive Metabolic Panel (CMP) LAB17 Yes
Chem 6 Panel LAB7346 No
Chem 7 Panel LAB7347 No
Renal Panel LAB5765 Yes
Hepatic Function Panel LAB20 Yes
Liver Panel LAB8458 No

Table 2: Testing Contained in the New Chemistry Panels

CMP CHEM6 CHEM7 Renal Panel Hepatic Function Panel Liver Panel
Na Na Na Na    
K K K K    
Cl Cl Cl Cl    
CO2 CO2 CO2 CO2    
Creatinine Creatinine Creatinine Creatinine    
Glucose   Glucose Glucose    
Calcium     Calcium    
Total protein       Total protein Total protein
Albumin     Albumin Albumin Albumin
Bilirubin, total       Bilirubin, total Bilirubin, total
        Bilirubin, direct  

Questions should be directed to Matthew Krasowski, MD, PhD, medical director of the Clinical Chemistry Laboratory (384-9380,