HEPATIC FUNCTION PANEL

Test Code
LAB20


Alias/See Also
LIVER FUNCTION
LFT


CPT Codes
80076

Preferred Specimen
Plasma collected in a Green top/Gel Li Hep


Minimum Volume
0.2 mL


Instructions
Protect specimen from light 


Transport Container
LI Heparin (GST)


Transport Temperature
Refrigerated


Setup Schedule
Set Up:Daily Report Available:1 day


Reference Range
TEST METHOD UNITS REF RANGE
ALBUMIN/GLOBULIN Calculated Ratio 0.87-2.00
ALBUMIN Colorimetric g/dL 0-4 days: 2.8-4.4
      5 days-14 years: 3.8-5.4
      15-18 years: 3.2-4.5
      >= 19 years: 3.2-5.2
ALKALINE PHOS Kinetic IU/L 0-15 years: 117-390
      >=16 years: 39-117
ALT Kinetic IU/L Male: 4-40 Female: 4-31
AST Kinetic IU/L Male: 4-37 Female: 4-31
GLOBULIN Calculated g/dL Male: 2.0-4.0 Female: 2.0-3.7
       
BILIRUBIN, TOTAL Colorimetric mg/dL 0-28 days: 1.1-10.5
      >= 29 days: 0.0-1.0
TOTAL PROTEIN Colorimetric g/dL 0-7 days: 4.4-7.6
      8 days - 1 year: 5.1-7.3
      1-2 years: 5.6-7.5
      3-18 years: 6.0-8.0
      >= 19 years: 5.9-8.4
DIRECT BILIRUBIN Colorimetrc mg/dL 0-28 days: 0.0-0.5
      >=29 days: 0.0-0.3
INDIRECT BILIRUBIN Calculated mg/dL 0-28 days: 0.6 -10.5
      >=29 days: 0.0-0.7


Performing Laboratory
GBMC Chemistry



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.