Alkaline Phosphatase

Test Code
AP


CPT Codes
84075

Preferred Specimen


Serum (gold top) tube




Minimum Volume
0.5 mL


Other Acceptable Specimens
Lithium Heparin Plasma (green top) tube


Transport Container

Serum (gold top) tube or Lithium Heparin Plasma (green top) tube



Transport Temperature
Room Temperature or Refrigeration


Specimen Stability
Room Temperature - 4 days; Refrigeration - 4 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolyzed, Quantity Not Sufficient, EDTA (purple top tube) contamination, IV contamination


Methodology
Colorimetric

Setup Schedule

Daily upon receipt



Report Available
Upon completion of analysis


Reference Range
Birth - 4 Years: 145 - 320 U/L
4 - 7 Years: 150 - 380 U/L
7 - 10 Years: 175 - 420 U/L
10 - 16 Years (Female): 130 - 560 U/L
10 - 16 Years (Male): 135 - 530 U/L
16 - 19 Years (Female): 50 - 130 U/L
16 - 19 Years (Male):  65 - 260 U/L
19 Years and Older: 36 - 126 U/L


Clinical Significance

Alkaline phosphatase is present mainly in bone, liver, kidney, intestine, placenta, and lung. Serum alkaline phosphatase may be elevated in increased bone metabolism, for example, in adolescents and during the healing of a fracture; primary and secondary hyperparathyroidism; Paget’s disease of bone; carcinoma metastatic to bone; osteogenic sarcoma; and Hodgkin’s disease if bones are invaded. Hepatobiliary diseases involving cholestasis, inflammation, or cirrhosis increase alkaline phosphatase activity; alkaline phosphatase activity may be increased in renal infarction and failure and in the complications of pregnancy. Low alkaline phosphatase activity may occasionally be seen in hypothyroidism.





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.