LDH, Lactate Dehydrogenase

Test Code
LDH


Alias/See Also
LDH, LD, Lactate dehydrogenase


CPT Codes
83615

Preferred Specimen
Light GREEN (PST)


Other Acceptable Specimens
Serum (Red) or Gold (SST) or Orange (OJ) or Tiger Top Serum


Instructions
No hemolysis. Centrifuge immediately.


Specimen Stability
The stability of LD in serum/body fluids at different storage temperatures has been studied by various investigators. Although the results are inconsistent, it has been established that heart isoenzymes are more stable than liver isoenzymes. In any event, it is essential that a standard collection and storage procedure be adopted to ensure consistent results. It is better not to refrigerate or freeze specimens, but to hold it at room temperature (15 - 25°C) with analysis done as soon as possible.


Methodology
Beckman AU
 

Setup Schedule
24x7


Report Available
<1 day


Reference Range
LDH:   100-230 U/L
 


Clinical Significance

Clinical Significance in Serum/Plasma: LDH is a non-specific test that may be used in the evaluation of a number of diseases and conditions. LDH is found in all cells of the body (as well as bacteria), with extremely high levels found in specific tissues such as the heart, liver, kidneys, skeletal muscle, and erythrocytes and is released from cells when they are damaged or destroyed. Therefore, increased levels seen in serum can be directly related to the damage of one of these tissues. Tissue levels of LDH are 500-fold higher than whole blood levels. Such measurements are used in the diagnosis and treatment of myocardial infarction, pulmonary emboli, liver disease, pernicious and megaloblastic anemias, malignancies, and muscular dystrophy. The results also may be used to monitor cancer chemotherapy.




Performing Laboratory
CRMC Laboratory
CCMC Laboratory
CCI Laboratory
FHSH Laboratory



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.