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Hepatic Panel

Hepatic Panel

Alternate Test Name

Hepatic Function, Liver Panel

Epic Mnemonic
Sunquest Mnemonic

LAB20
LIVER

Test Performance Schedule

Sunday-Saturday

Result Availability

Within 24 hours - STAT upon request

Specimen Required

Container

Gold top (SST), Green top (lithium heparin) or Red top (serum) tube

Volume

Pref. Vol.: 1.0 mL serum or plasma
Min. Vol.: 0.3 mL serum or plasma

Collection Instructions

• Routine venipuncture
• Immediately after collection, gently invert tube 5-10 times

Transportation Instructions

• Clot 30 minutes
• Promptly centrifuge 15 minutes
• Refrigerate

Stability

• ≤4 hours at room temperature (20-30oC)
• ≤72 hours refrigerated (2-8oC)
• Frozen-not recommended

Causes for Rejection

• Hemolysis
• Icterus

Remarks

Panel Includes:
• Albumin
• Alkaline Phosphatase
• Bilirubin, Direct
• Bilirubin, Total
• SGOT (AST)
• SGPT (ALT)
• Total Protein

Medicare Medical Necessity Policy

CPT Codes

80076

Effective/Revised

10/21/14

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