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Post-Bariatric Surgery Comprehensive Profile

CPT 80053; 80061; 82306; 82390; 82525; 82607; 82728; 82746; 83036; 83540; 83550; 83921; 83970; 84238; 84425; 84443; 84590; 84630; 85027
Synonyms
  • Weight Management

Test Details

Methodology

See individual test components.

Result Turnaround Time

5 - 7 days

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Test Includes

Vitamin B1, vitamin B12, methylmalonic acid, folate, ferritin, iron and total iron-binding concentration (TIBC), soluble transferrin receptor, 25-hydroxyvitamin D, vitamin A, zinc, copper, ceruloplasmin, PTH (intact), complete blood count (CBC), comprehensive metabolic panel (CMP), thyroid-stimulating hormone (TSH), lipid panel, hemoglobin A1c

Use

Obesity, associated with a multitude of co-morbid conditions, is a serious health condition impacting a significant number of patients in the U.S. Per the Centers for Disease Control and Prevention (CDC), the prevalence of obesity in the U.S. increased from 30.5% in 1999-2000 to 41.9% in 2017- March 2020.1 Currently, there is great emphasis on being overweight and obesity as a disease, with societies providing guidance on the use of newly available pharmacologic therapies as well as bariatric surgical procedures to decrease the burden.

Depending upon the type of bariatric surgery performed, deficiencies of micronutrients and some vitamins may ensue, and recommendations are to evaluate these parameters prior to surgery and at least annually thereafter.

Limitations

See individual test components.

Footnotes

1. Adult Obesity Facts. Centers for Disease Control and Prevention (CDC) website: https://www.cdc.gov/obesity/data/adult.html. Updated May 17, 2022. Accessed Dec 19, 2023.
2. Mechanick JI, Apovian C, Brethauer S, et al. Clinical Practice Guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures - 2019 update: Cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society, American Society for Metabolic & Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists. Endocr Pract. 2019 Dec;25(12):1346-1359.31682518
3. Eisenberg D, Shikora SA, Aarts E, et al. 2022 American Society for Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO): Indications for Metabolic and Bariatric Surgery. Surg Obes Relat Dis. 2022 Dec;18(12):1345-1356.36280539

References

Banerjee ES, Schroeder R, Harrison TD. Metabolic Surgery for Adult Obesity: Common Questions and Answers. Am Fam Physician. 2022 Jun 1:105(6):593-601.35704821

Custom Additional Information

Per 2019 guidelines,2 bariatric surgery is advised under the following conditions in adult populations:

Patients with a body mass index ≥40 kg/m2 without co-existing medical problems and for whom bariatric procedures would not be associated with excessive risk are eligible for a bariatric procedure (Grade A; BEL 1).

Patients with a body mass index (BMI) ≥35 kg/m2 and one or more severe obesity-related complications remediable by weight loss, including type 2 diabetes (T2D), high risk for T2D (insulin resistance, prediabetes and/or metabolic syndrome), poorly controlled hypertension, nonalcoholic fatty liver disease/nonalcoholic steatohepatitis, obstructive sleep apnea, osteoarthritis of the knee or hip and urinary stress incontinence, should be considered for a bariatric procedure (Grade C; BEL 3).

Patients with the following comorbidities and BMI ≥35 kg/m2 may also be considered for a bariatric procedure, hypoventilation syndrome and Pickwickian syndrome after a careful evaluation of operative risk: idiopathic intracranial hypertension; gastroesophageal reflux disease; severe venous stasis disease; impaired mobility due to obesity and considerably impaired quality of life (Grade C; BEL 3).

Patients with body mass index 30 to 34.9 kg/m2 and type 2 diabetes with inadequate glycemic control despite optimal lifestyle and medical therapy should be considered for a bariatric procedure; current evidence is insufficient to support recommending a bariatric procedure in the absence of obesity (Grade B; BEL 2).

The body mass index criterion for bariatric procedures should be adjusted for ethnicity (e.g., 18.5 to 22.9 kg/m2 is normal range, 23 to 24.9 kg/m2 is overweight and ≥25 kg/m2 is obesity for Asians) (Grade D).

Bariatric procedures should be considered to achieve optimal outcomes regarding health and quality of life when the amount of weight loss needed to prevent or treat clinically significant ORC cannot be obtained using only structured lifestyle change with medical therapy (Grade B; BEL 2).

Grading of these guidelines corresponds to the following levels of recommendation (BEL: best evidence level):

• Grade A / BEL 1 – strong recommendation

• Grade B / BEL 2 – intermediate recommendation

• Grade C / BEL 3 – weak recommendation

• Grade D – no conclusive evidence or expert opinion

The following indications for bariatric surgery3 are suggested by the 2022 American Society for Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO):

• Metabolic and bariatric surgery (MBS) is recommended for individuals with a body mass index (BMI) ≥35 kg/m2, regardless of presence, absence or severity of co-morbidities.

• MBS should be considered for individuals with metabolic disease and BMI of 30-34.9 kg/m2.

• BMI thresholds should be adjusted in the Asian population such that a BMI ≥25 kg/m2 suggests clinical obesity, and individuals with BMI ≥ 27.5 kg/m2 should be offered MBS.

Specimen Requirements

Specimen

Serum, whole blood, plasma

Volume

6 mL serum, 8 mL whole blood, 5 mL plasma

Container

Gel-barrier tube, polypropylene screw-capped transfer tube, trace metal free transfer tube, lavender-top (EDTA) tube

Storage Instructions

See individual test components.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001032 Glucose mg/dL 2345-7
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001481 Hemoglobin A1c % 4548-4
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001040 BUN mg/dL 3094-0
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001370 Creatinine mg/dL 2160-0
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 011577 BUN/Creatinine Ratio 3097-3
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001198 Sodium mmol/L 2951-2
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001180 Potassium mmol/L 2823-3
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001206 Chloride mmol/L 2075-0
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001578 Carbon Dioxide, Total mmol/L 2028-9
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001016 Calcium mg/dL 17861-6
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 015610 PTH, Intact pg/mL 2731-8
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 004000 Intact PTH N/A
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001073 Protein, Total g/dL 2885-2
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001081 Albumin g/dL 1751-7
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 012039 Globulin, Total g/dL 10834-0
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 012047 A/G Ratio 1759-0
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001099 Bilirubin, Total mg/dL 1975-2
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001107 Alkaline Phosphatase IU/L 6768-6
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001123 AST (SGOT) IU/L 1920-8
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001545 ALT (SGPT) IU/L 1742-6
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001347 Iron Bind.Cap.(TIBC) ug/dL 2500-7
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001348 UIBC ug/dL 2501-5
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001339 Iron ug/dL 2498-4
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 011362 Iron Saturation % 2502-3
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 004598 Ferritin ng/mL 2276-4
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001560 Ceruloplasmin mg/dL 2064-4
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 142004 Vitamin A ug/dL 2923-1
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 121188 Vit. B1, Whole Blood nmol/L 32554-8
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001503 Vitamin B12 pg/mL 2132-9
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 002020 Folate (Folic Acid), Serum ng/mL 2284-8
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 081953 Vitamin D, 25-Hydroxy ng/mL 62292-8
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001065 Cholesterol, Total mg/dL 2093-3
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001172 Triglycerides mg/dL 2571-8
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 011817 HDL Cholesterol mg/dL 2085-9
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 011919 VLDL Cholesterol Cal mg/dL 13458-5
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 012059 LDL Chol Calc (NIH) mg/dL 13457-7
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 011923 LDL Calc Comment: N/A
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 004264 TSH uIU/mL 11580-8
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 143307 Soluble Transferrin Receptor nmol/L 33210-6
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001586 Copper, Serum or Plasma ug/dL 5631-7
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 001800 Zinc, Plasma or Serum ug/dL 5763-8
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 706797 Methylmalonic Acid, Serum nmol/L 13964-2
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 005025 WBC x10E3/uL 6690-2
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 005033 RBC x10E6/uL 789-8
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 005041 Hemoglobin g/dL 718-7
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 005058 Hematocrit % 4544-3
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 015065 MCV fL 787-2
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 015073 MCH pg 785-6
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 015081 MCHC g/dL 786-4
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 105007 RDW % 788-0
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 015172 Platelets x10E3/uL 777-3
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 015945 NRBC % 58413-6
259090 CMP14+LP+Fe+TSH+TIBC+Fer+Hb... 100779 eGFR mL/min/1.73 98979-8
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001032
Result Code NameGlucose
UofMmg/dL
Result LOINC2345-7
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001481
Result Code NameHemoglobin A1c
UofM%
Result LOINC4548-4
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001040
Result Code NameBUN
UofMmg/dL
Result LOINC3094-0
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001370
Result Code NameCreatinine
UofMmg/dL
Result LOINC2160-0
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code011577
Result Code NameBUN/Creatinine Ratio
UofM
Result LOINC3097-3
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001198
Result Code NameSodium
UofMmmol/L
Result LOINC2951-2
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001180
Result Code NamePotassium
UofMmmol/L
Result LOINC2823-3
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001206
Result Code NameChloride
UofMmmol/L
Result LOINC2075-0
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001578
Result Code NameCarbon Dioxide, Total
UofMmmol/L
Result LOINC2028-9
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001016
Result Code NameCalcium
UofMmg/dL
Result LOINC17861-6
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code015610
Result Code NamePTH, Intact
UofMpg/mL
Result LOINC2731-8
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code004000
Result Code NameIntact PTH
UofM
Result LOINCN/A
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001073
Result Code NameProtein, Total
UofMg/dL
Result LOINC2885-2
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001081
Result Code NameAlbumin
UofMg/dL
Result LOINC1751-7
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code012039
Result Code NameGlobulin, Total
UofMg/dL
Result LOINC10834-0
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code012047
Result Code NameA/G Ratio
UofM
Result LOINC1759-0
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001099
Result Code NameBilirubin, Total
UofMmg/dL
Result LOINC1975-2
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001107
Result Code NameAlkaline Phosphatase
UofMIU/L
Result LOINC6768-6
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001123
Result Code NameAST (SGOT)
UofMIU/L
Result LOINC1920-8
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001545
Result Code NameALT (SGPT)
UofMIU/L
Result LOINC1742-6
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001347
Result Code NameIron Bind.Cap.(TIBC)
UofMug/dL
Result LOINC2500-7
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001348
Result Code NameUIBC
UofMug/dL
Result LOINC2501-5
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001339
Result Code NameIron
UofMug/dL
Result LOINC2498-4
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code011362
Result Code NameIron Saturation
UofM%
Result LOINC2502-3
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code004598
Result Code NameFerritin
UofMng/mL
Result LOINC2276-4
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001560
Result Code NameCeruloplasmin
UofMmg/dL
Result LOINC2064-4
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code142004
Result Code NameVitamin A
UofMug/dL
Result LOINC2923-1
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code121188
Result Code NameVit. B1, Whole Blood
UofMnmol/L
Result LOINC32554-8
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001503
Result Code NameVitamin B12
UofMpg/mL
Result LOINC2132-9
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code002020
Result Code NameFolate (Folic Acid), Serum
UofMng/mL
Result LOINC2284-8
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code081953
Result Code NameVitamin D, 25-Hydroxy
UofMng/mL
Result LOINC62292-8
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001065
Result Code NameCholesterol, Total
UofMmg/dL
Result LOINC2093-3
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001172
Result Code NameTriglycerides
UofMmg/dL
Result LOINC2571-8
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code011817
Result Code NameHDL Cholesterol
UofMmg/dL
Result LOINC2085-9
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code011919
Result Code NameVLDL Cholesterol Cal
UofMmg/dL
Result LOINC13458-5
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code012059
Result Code NameLDL Chol Calc (NIH)
UofMmg/dL
Result LOINC13457-7
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code011923
Result Code NameLDL Calc Comment:
UofM
Result LOINCN/A
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code004264
Result Code NameTSH
UofMuIU/mL
Result LOINC11580-8
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code143307
Result Code NameSoluble Transferrin Receptor
UofMnmol/L
Result LOINC33210-6
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001586
Result Code NameCopper, Serum or Plasma
UofMug/dL
Result LOINC5631-7
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code001800
Result Code NameZinc, Plasma or Serum
UofMug/dL
Result LOINC5763-8
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code706797
Result Code NameMethylmalonic Acid, Serum
UofMnmol/L
Result LOINC13964-2
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code005025
Result Code NameWBC
UofMx10E3/uL
Result LOINC6690-2
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code005033
Result Code NameRBC
UofMx10E6/uL
Result LOINC789-8
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code005041
Result Code NameHemoglobin
UofMg/dL
Result LOINC718-7
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code005058
Result Code NameHematocrit
UofM%
Result LOINC4544-3
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code015065
Result Code NameMCV
UofMfL
Result LOINC787-2
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code015073
Result Code NameMCH
UofMpg
Result LOINC785-6
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code015081
Result Code NameMCHC
UofMg/dL
Result LOINC786-4
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code105007
Result Code NameRDW
UofM%
Result LOINC788-0
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code015172
Result Code NamePlatelets
UofMx10E3/uL
Result LOINC777-3
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code015945
Result Code NameNRBC
UofM%
Result LOINC58413-6
Order Code259090
Order Code NameCMP14+LP+Fe+TSH+TIBC+Fer+Hb...
Order Loinc
Result Code100779
Result Code NameeGFR
UofMmL/min/1.73
Result LOINC98979-8