Liver Fibrosis, Fibrosis-4 (FIB-4) Index Panel

Test Code
30555


Includes
Aspartate Aminotransferase (AST)
Alanine Aminotransferase (ALT)
Platelet Count
FIB 4 Index


Preferred Specimen
Red Top

AND
Lavender Top


Minimum Volume
0.5 mL in BOTH


Other Acceptable Specimens
Whole blood from a full EDTA (tan-top) tube


Instructions
Note: If drawn with lead testing, EDTA (tan-top) is required


Transport Temperature
Serum: Refrigerated
Whole blood: Room temperature


Specimen Stability
Serum
Room temperature: 72 hours
Refrigerated: 5 days
Frozen: Unacceptable

Whole blood
Room temperature: 48 hours
Refrigerated: Unacceptable
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
See individual tests


Methodology
Spectrophotometry (SP) • Electronic Sizing and Counting/Cytometry/Microscopy

Setup Schedule

Set up: Mon-Sat; Report available: 1-3 days



Reference Range
See Laboratory Report


Clinical Significance
The FIB-4 index is a simple non-invasive approach using selected laboratory measures (AST, ALT, platelet count) in combination with patient age to assess if an individual is at higher risk for advanced liver fibrosis (F3-F4).




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.