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HelpTest Code LAB4497 Hepatic Function Panel
Additional Codes
| Test Name in EPIC | EPIC Test Code | Mnemonic |
|---|---|---|
| HEPATIC FUNCTION PANEL | LAB4497 | LIVER |
Useful For/Utility
Screening for liver damage, especially if someone has a condition or is taking a drug that may affect the liver.
Methodology
| Profile Information: | |
| Alanine Aminotransferase (ALT) | Bilirubin, Direct |
| Albumin | Bilirubin, Total |
| Alkaline Phosphatase (ALP) | Protein, Total |
| Aspartate Aminotransferase (AST) | |
Clinical Information
Hepatic function panel results are not diagnostic of a specific condition; they indicate that there may be a problem with the liver. In a person who does not have symptoms or identifiable risk factors, abnormal liver test results may indicate a temporary liver injury or reflect something that is happening elsewhere in the body-such as in the skeletal muscles, pancreas, or heart. It may also indicate early liver disease and the need for further testing and periodic monitoring. Results of liver panels are usually evaluated together. Several sets of results from tests performed over a few days or weeks are often assessed together to determine if a pattern is present. Each person will have a unique set of test results that will typically change over time. A healthcare practitioner evaluates the combination of liver test results to gain clues about the underlying condition. Often, further testing is necessary to determine what is causing the liver damage or disease.
(AACC: Lab Tests Online. Access 04/17/2018. Available at https://labtestsonline.org/understanding/analytes/liver-panel)
Specimen Requirements
Submit only 1 of the following specimens:
Preferred:
Specimen Type: Plasma
Container/Tube: Light-green top (lithium heparin gel)
Specimen Volume: 1 mL
Specimen Minimum Volume: 0.5 mL
Collection Instructions:
1. Grossly hemolyzed specimen is not acceptable.
2. Separate plasma from cells within 2 hours of draw.
3. If plunger filters are used, immediate removal of plasma is indicated unless an air gap can be created between the device and specimen.
Additional Information:
1. Protect specimen from light.
2. Avoid repeated freeze/thaw cycles.
3. If extreme lipemia-use ultracentrifuged specimens.
4. Label specimen appropriately (plasma).
Alternate:
Specimen Type: Serum
Container/Tube: Serum gel
Specimen Volume: 1 mL
Specimen Minimum Volume: 0.5 mL
Collection Instructions:
1. Grossly hemolyzed specimen is not acceptable.
2. Separate serum from cells within 2 hours of draw.
3. If plunger filters are used, immediate removal of serum is indicated unless an air gap can be created between the device and specimen.
Additional Information:
1. Protect specimen from light.
2. Avoid repeated freeze/thaw cycles.
3. If extreme lipemia-use ultracentrifuged specimens.
4. Label specimen appropriately (serum).
Specimen Transport Temperature
Refrigerate 5 days/Ambient 8 hours OK/Frozen OK
Day(s) Test Set Up
Monday through Sunday
Test Classification and CPT Coding
80076
Performing Laboratory - Chemistry
| Minnesota | North Dakota | Wisconsin |
|---|---|---|
| Ada Hospital | Fargo Hospital | Ashland Clinic |
| Deer River Hospital | Mid Dakota Bismarck 9th St Clinic | Hayward Clinic |
| Ely Clinic | South University Clinic (Fargo) | Spooner Clinic |
| Fosston Hospital | St. Mary's Hospital - Superior | |
| Hibbing Clinic | ||
| Holy Trinity Hospital (Graceville) | ||
| International Falls Clinic | ||
| Moose Lake Hospital | ||
| Northern Pines (Aurora) | ||
| Park Rapids Clinic | ||
| Sandstone Hospital | ||
| SMDC Clinical Lab (Duluth) | ||
| St. Joseph's Medical Center (Brainerd) | ||
| St. Joseph's - Baxter Clinic | ||
| St. Joseph's - Brainerd Clinic | ||
| St. Mary's - Detroit Lakes Hospital | ||
| Virginia Hospital |
Reference Values
See individual test listings.