Procalcitonin
Ordering Recommendation
Use to assess risk of progression to severe sepsis and septic shock in the intensive care unit (ICU).This test may also be used to determine 28-day mortality risk for individuals with septic shock or severe sepsis in acute settings, as an aid in determining whether antibiotic treatment may be discontinued in individuals with confirmed or suspected sepsis, or to aid in antibiotic therapy decision-making for individuals with confirmed or suspected lower respiratory tract infections in inpatient or emergency settings. Use in conjunction with other clinical and laboratory findings.
New York DOH Approval Status
Specimen Required
Serum separator tube (SST), K2EDTA, K3EDTA, or li heparin plasma.
Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP standard transport tube. (Min: 0.5 mL)
Frozen
Hemolyzed specimens. Specimens stabilized with azide.
After separation from cells: Ambient: 24 hours; Refrigerated: 48 hours; Frozen: 1 year
Methodology
Quantitative Electrochemiluminescent Immunoassay (ECLIA)
Performed
Sun-Sat
Reported
Within 24 hours
Reference Interval
<=0.08 ng/mL
Interpretive Data
ICU Admission Risk Assessment: On the first day of ICU admission, procalcitonin concentrations above 2.00 ng/mL represent a high risk for progression to severe sepsis and/or septic shock. Procalcitonin concentrations below 0.50 ng/mL on the first day of ICU admission represent a low risk for progression to severe sepsis and/or septic shock. Concentrations below 0.50 ng/mL do not exclude an infection. Increased procalcitonin concentrations can occur without infection. Use in conjunction with other clinical and laboratory findings.
This test may also be used to determine 28-day mortality risk for individuals with septic shock or severe sepsis in acute settings, as an aid in determining whether antibiotic treatment may be discontinued in individuals with confirmed or suspected sepsis, or to aid in antibiotic therapy decision-making for individuals with confirmed or suspected lower respiratory tract infections in inpatient or emergency settings.
For more information about procalcitonin test result interpretation, refer to arupconsult.com/ati/procalcitonin.
FDA
Note
Hotline History
Hotline History
CPT Codes
84145
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
0020764 | Procalcitonin | 33959-8 |
Aliases
- PCT
- Sepsis