Lactate Dehydrogenase, Isoenzymes

Message
LD-1 and LD-2 are elevated in hemolyzed specimens and serum which has not been separated from cells.  LD-3, LD-4, and LD-5 are labile at low temperatures, and are erroneously low in specimens that have been refrigerated or frozen.


Test Code
2142


Alias/See Also
Isoenzymes, LD; LD Isoenzymes


Preferred Specimen
Serum separator tube.


Minimum Volume
Room temperature.


Instructions
Do not refrigerate or freeze. Allow serum to clot completely at room temperature. Separate serum from cells ASAP and transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.6 mL)


Transport Temperature
Room temperature.


Specimen Stability
After separation of cells: Ambient: 1 week; Refrigerated: Unacceptable; Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimens collected with EDTA, potassium oxalate, or sodium fluoride anticoagulants. Frozen, refrigerated, or hemolyzed specimens.


Methodology
Enzymatic/Electrophoresis

Setup Schedule
Sun-Sat


Report Available
Within 24 hours




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.