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Test Code LV Hepatic Panel

Methodology

Profile Information:
Alanine Aminotransferase (ALT/SGPT)

Bilirubin, Direct

Albumin Bilirubin, Total
Alkaline Phosphatase Protein, Total
Aspartate Aminotransferase (AST/SGOT)  

Performing Laboratory

Munson Healthcare Laboratories

Specimen Requirements

Specimen must arrive within 48 hours of draw.

 

Submit only 1 of the following specimens:

 

Plasma

Container/Tube: Green-top (heparin) gel tube

Specimen Volume: 1.5 mL of heparinized plasma
Transport Temperature: Refrigerate
Collection Instructions: Centrifuge tube within 1 hour of draw. Serum is required if protein electrophoresis is also ordered. Plasma must be removed from cells within 4 hours of draw. Protect specimen from light. Forward promptly.

Note: 1. Medicare frequency limitations exist for this test in addition to diagnosis requirements. See Advance Beneficiary Notice of Noncoverage (ABN) form in Special Instructions.

2. Indicate plasma.

3. Label specimen appropriately (plasma).


Serum
Container/Tube: Gold-top serum gel tube

Specimen Volume: 1.5 mL of serum
Transport Temperature: Refrigerate
Collection Instructions: Centrifuge tube within 1 hour of draw. Serum is required if protein electrophoresis is also ordered. Serum must be removed from cells within 4 hours of draw. Protect specimen from light. Forward promptly.

Note: 1. Medicare frequency limitations exist for this test in addition to diagnosis requirements. See Advance Beneficiary Notice of Noncoverage (ABN) form in Special Instructions.

2. Indicate serum.

3. Label specimen appropriately (serum).

Reference Values

See individual test listings.

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

80076