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Gamma Glutamyl Transferase (GGT)
Test Code38450
CPT Codes
82977<br>Limited Access Code
Preferred Specimen
1 mL serum collected in a serum separator tube (SST)
Minimum Volume
0.5 mL
Other Acceptable Specimens
Plasma collected in a plasma separator tube (PST)
Transport Temperature
Room temperature
Specimen Stability
Room temperature: 7 days
Refrigerated: 7 days
Frozen: 28 days
Refrigerated: 7 days
Frozen: 28 days
Methodology
Spectrophotometric
Setup Schedule
Set up: Daily; Report available: Next day
Reference Range
Age | Male (U/L) | Female (U/L) |
<6 months: | 12-122 | 15-132 |
6-11 months: | ≤39 | ≤39 |
1-12 years: | 3-22 | 3-22 |
13-15 years: | 8-32 | 7-18 |
16-19 years: | 9-31 | 6-26 |
20-29 years: | 3-70 | 3-40 |
30-39 years: | 3-90 | 3-50 |
40-54 years: | 3-95 | 3-55 |
55-59 years: | 3-85 | 3-70 |
≥60 years: | 3-70 | 3-65 |
Clinical Significance
Elevated GGT is found in all forms of liver disease. Measurement of GGT is used in the diagnosis and treatment of alcoholic cirrhosis, as well as primary and secondary liver tumors. It is more sensitive than alkaline phosphatase, the transaminases, and leucine aminopeptidase in detecting obstructive jaundice, cholangitis, and cholecystitis. Normal levels of GGT are seen in skeletal diseases; thus, GGT in serum can be used to determine whether a disease, suggested by elevated alkaline phosphatase, is skeletal or hepatobiliary.