Hepatic Function Panel

Test Code
38453


CPT Codes
80076<br>Limited Access Code

Includes
754 - Protein, Total
223 - Albumin
Albumin/globulin Ratio
Globulin
Bilirubin, Indirect
287 - Bilirubin, Total
234 - Alkaline Phosphatase
7577 - Protein, Total and Albumin
823 - Alanine Aminotransferase (ALT)
822 - Aspartate Aminotransferase (AST)


Preferred Specimen
1 mL serum


Minimum Volume
0.5 mL


Other Acceptable Specimens
Plasma collected in a PST plasma separator tube


Transport Temperature
Refrigerated (cold packs)


Specimen Stability

Room temperature: 24 hours
Refrigerated: 72 hours
Frozen: Unacceptable



Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
See individual tests


Methodology
See individual tests

Setup Schedule
Set up: Daily; Report available: Next day


Reference Range
See individual tests


Clinical Significance
See individual tests




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.