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