HEPATIC PANEL, NEONATAL

Test Code

LAB5043 1230102125

CPT Codes
80076

Includes

ALBUMIN (G/DL) IN SER/PLAS
ALKALINE PHOSPHATASE (U/L) IN SER/PLAS
ASPARTATE AMINOTRANSFERASE (SGOT) (U/L) IN SER/PLAS
ALANINE AMINOTRANSFERASE (SGPT) (U/L) IN SER/PLAS
PROTEIN (G/DL) IN SER/PLAS
TOTAL BILIRUBIN, NEONATAL
BILIRUBIN CONJUGATED (MG/DL) IN SER/PLAS

Preferred Specimen

Serum

Transport Container

PEDIATRIC RED

Transport Temperature

Refrigerated

Reference Range

Component Name	Parameter Summary	Result Checking Type	Low (N)	High (N)	Numeric Range (N)
Albumin		Reference Range	3.5	5.0	3.5-5.0
Total Bilirubin, Neonatal		Reference Range	1.1	10.5	1.1-10.5
Total Bilirubin, Neonatal		Abnormality - Critical		18.0	>=18.0
Alkaline Phosphatase	0 up to 4 Years	Reference Range	110	320	110-320
Alkaline Phosphatase	4 Years up to 7 Years	Reference Range	150	380	150-380
Alkaline Phosphatase	7 Years up to 10 Years	Reference Range	175	420	175-420
Alkaline Phosphatase	10 Years up to 12 Years	Reference Range	130	560	130-560
Alkaline Phosphatase	12 Years up to 14 Years	Reference Range	105	420	105-420
Alkaline Phosphatase	14 Years up to 16 Years	Reference Range	70	230	70-230
Alkaline Phosphatase	16 Years up to 20 Years	Reference Range	50	130	50-130
Alkaline Phosphatase	20 Years up to unspecified	Reference Range	38	126	38-126
AST	Female	Reference Range	14	36	14-36
AST	Male	Reference Range	17	59	17-59
AST	Unspecified Sex	Reference Range			Female: 14-36, Male: 17-59 (As different demographic populations can be very physiologically diverse (e.g. gender non-binary individuals), reference intervals provided on this report may not apply to all patients)
ALT (SGPT)	Female	Reference Range	0	34	0-34
ALT (SGPT)	Male	Reference Range	0	49	0-49
ALT (SGPT)	Unspecified Sex	Reference Range			Female: 0-34, Male: 0-49 (As different demographic populations can be very physiologically diverse (e.g. gender non-binary individuals), reference intervals provided on this report may not apply to all patients)
Total Protein	0 up to 3 Years	Reference Range	4.6	7.0	4.6-7.0
Total Protein	3 Years up to 10 Years	Reference Range	5.8	7.8	5.8-7.8
Total Protein	10 Years up to unspecified	Reference Range	6.3	8.2	6.3-8.2
Bilirubin Conjugated, Neonatal		Reference Range		0.6	<=0.6

Performing Laboratory
MWH LAB SH LAB LH FSED MAIN LAB HC FSED Main Lab

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.