PREALBUMIN

Test Code

LAB115

CPT Codes
84134

Preferred Specimen

One 5 mL gold top tube
Pediatric: one gold or red top microtainer

Other Acceptable Specimens

Red top tube

Instructions

Sample must be centrifuged within two hours of collection. Serum/plasma must be removed from the red cells and put into aliquot tubes following centrifugation.

Transport Temperature

Refrigerated

Specimen Stability

Centrifuge within 2 hours of collection
Ambient: 8 hours Refrigerated: 3 days Frozen: 6 months

Methodology
Immunoturbidimetric

Setup Schedule

Sunday-Saturday

Reference Range

Age	Reference Value (mg/dL)
0-15 days	3-12
16 days-12 months	5-24
1-4 years	12-23
5-12 years	14-26
13-15 years	18-31
16-19 years	20-35
≥20 years	18-45

Performing Laboratory
West Virginia University Hospital, Inc.
Berkeley Medical Center
Camden Clark Medical Center
Garrett Regional Medical Center
Princeton Community Hospital
United Hospital Center
Wheeling Hospital

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.