Gastric pH - RightSpot pH indicator

Our hospital system determined that pH testing for gastric tube placement would fall under a nursing procedure and not under the laboratory's oversight. For CAP accredited labs - If the test is ordered, resulted and billed then the pH determination is a test. If there is a recorded note in the patient chart, absent an order and billing, then it can probably be identified as a procedure by the institution. If there is an order and a result on the patient chart then it becomes a test. When there is some variation in between, the institution needs to agree, via policy, what constitutes a test. A procedure becomes a test when it is ordered and resulted on a patient's medical record. You could reach out to CLIA to see what they respond with also, as lab's , institutions must follow state, local guidelines.  It may be possible, your state may have stringent requirements.  Yes, the lab guidance and the institution must agree and work together to create a policy for this scenario.