Lactate Dehydrogenase (LD)

Message
For Specimen Integrity during Extreme Weather see the “Lockbox Usage in Extreme Weather” document at the top of this page.


Test Code
LDHAMD


Alias/See Also
593


CPT Codes
83615

Preferred Specimen
1 mL serum collected in a serum separator tube (SST)


Minimum Volume
0.5 mL


Other Acceptable Specimens
Plasma collected in a sodium or lithium heparin (green-top) tube


Instructions
Do not refrigerate or freeze.

For fluids, please use test codes:
17589X, LD, Pleural Fluid
17588X, LD, Peritoneal Fluid
17658X, LD, Synovial Fluid
17647X, LD, Pericardial Fluid
1687X LD, CSF
*Fluids other than those listed are not acceptable.


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 14 days
Refrigerated: 48 hours
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolysis


Methodology
Spectrophotometry (SP)

Setup Schedule
Set up: Sun-Fri a.m. and nights, Sat a.m.; Report available: Next day


Clinical Significance
Elevations in serum lactate dehydrogenase occur from myocardial infarction, liver disease, pernicious and megaloblastic anemia, pulmonary emboli, malignancies, and muscular dystrophy. Since lactic dehydrogenase is present in many body tissues, it's diagnosis usefulness is limited. Tissue specificity may be enhanced by isoenzyme analysis.


Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153



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.