Chem 6 (Hepatic Function Panel)

Test Code

CHEM6

Alias/See Also

Hepatic Function Panel, Liver Panel,

CPT Codes
80076

Includes

Bilirubin, T/D
Protein T, S/P
Albumin, S/P
Globulin, S/P
Alkaline Phosphatase, S/P
AST(SGOT), S/P
ALT(SGPT), S/P

Preferred Specimen

3.5 mL Lithium Heparin (mint top tube)
1 Microtainer Plain, age range: -< 1

Minimum Volume

1 mL S/P

Other Acceptable Specimens

Serum red top tube

Specimen Stability

Room temperature: 24 hours
Refrigerated: 7 days
Frozen: 3 months

Reference Range

"Test: BILIRUBIN, TOTAL, SERUM
Male/Female Ages >=0 Days - <1 Day:
Normal Range: Not Appicable
Critical High : >=7.0 mg/dL

Male/Female Ages >=1 Day - <2 Days:
Normal Range: Not Appicable
Critical High : >=11.0 mg/dL

Male/Female Ages >=2 Days - <3 Days:
Normal Range: Not Appicable
Critical High : >=13.0 mg/dL

Male/Female Ages >=3 Days - <13 Days:
Normal Range: Not Appicable
Critical High : >=15.0 mg/dL

Male/Female Ages >=13 Days - <1 Month:
Normal Range: 2.0-12.0 mg/dL
Critical High : >=15.0 mg/dL

Male/Female Ages >=1 Month:
Normal Range: 0.3-1.2 mg/dL

Test: BILIRUBIN, DIRECT, SERUM
Male/Female All Ages:
Normal Range: 0.0-0.3 mg/dL

Test: PROTEIN,TOTAL,S/P
Male/Female Ages >=0 Days - <18 Years:
Normal Range: 4.4-8.0 g/dL

Male/Female Ages >=18 Years:
Normal Range: 6.6-8.7 g/dL

Test: ALBUMIN,S/P
Male/Female Ages >=0 Days - <5 Days:
Normal Range: 2.8-4.4 g/dL

Male/Female Ages >=5 Days - <15 Years:
Normal Range: 3.8-5.4 g/dL

Male/Female Ages >=15 Years - <19 Years:
Normal Range: 3.2-4.5 g/dL

Male/Female Ages >=19 Years:
Normal Range: 3.5-5.2 g/dL

Test: GLOBULIN,S/P
Male/Female Ages >=0 Days - <17 Years:
Normal Range: 1.6-2.7 g/dL

Male/Female Ages >=17 Years:
Normal Range: 2.4-3.7 g/dL

Test: ALKALINE PHOSPHATASE,S/P
Female Ages >=0 Days - <3 Years:
Normal Range: 5-281 U/L

Female Ages >=3 Years - <14 Years:
Normal Range: 5-299 U/L

Female Ages >=14 Years - <18 Years:
Normal Range: 5-187 U/L

Female Ages >=18 Years:
Normal Range: 35-104 U/L

Male Ages >=0 Days - <3 Years:
Normal Range: 5-281 U/L

Male Ages >=3 Years - <14 Years:
Normal Range: 5-299 U/L

Male Ages >=14 Years - <18 Years:
Normal Range: 5-390 U/L

Male Ages >=18 Years:
Normal Range: 40-129 U/L

Test: AST(SGOT),S/P
Female All Ages:
Normal Range: 10-32 U/L

Male All Ages:
Normal Range: 10-40 U/L

Test: ALT(SGPT),S/P
Female All Ages:
Normal Range: 4-33 U/L

Male All Ages:
Normal Range: 4-41 U/L

"

Performing Laboratory
Little Company of Mary Hospital
2800 W. 95th St.
Evergreen Park, IL 60805

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.