Liver Profile

Overview

  • EPIC Code:
  • LAB20
  • Soft Test Code:
  • LIVER
Alternate Names
  • Hepatic Panel
  • Hepatic Profile
  • LFT
Included Tests

A/G Ratio; Alanine Aminotransferase (ALT); Albumin;  Alkaline Phosphatase; Aspartate Transaminase (AST); Bilirubin Direct; Bilirubin Indirect: Bilirubin, Total; Globulin; Protein, Total


Specimen Collection & Preparation

Specimen Requirements:

-OR-

2.0 mL Plasma in a PST Mint Green Top Tube - Li Heparin
Minimum Volume:
1.0 mL Plasma*
Neonatal Volume:
0.5 mL Whole Blood*

* This volume does not allow for repeat testing

Processing Instructions:

Specimen must be centrifuged and separated from cells within 6 hours of collection


Rejection Criteria:

Avoid hemolysis

Capillary draw is not recommended


Transport and Storage:
  • Refrigerated: 5 Days

Clinical Interpretation

Reference Range:

A/G Ratio: 0.8 - 1.6 g/dL

Albumin:
Pediatric: 
1 day to 1 year: 2.1 - 3.6 g/dL
1 year to 4 years: 2.9 - 4.2 g/dL
4 years to 7 years: 3.0 - 5.2 g/dL
7 years to 20 years: 3.2 - 5.6 g/dL

Adult: 
>20 years: 3.4 - 5.0 g/dL

Alkaline Phosphatase:
Pediatric
1 day to 7 days: 80 - 218 Units/L
7 days to 1 month: 140 - 381 Units/L
1 month to 5 years: 100 - 272 Units/L

Male
5 years to 16 years: 120 - 326 Units/L
>16 years: 40 - 110 Units/L

Female
5 years to 16 years: 80 -218 Units/L
>16 years: 40 - 110 Units/L

ALT (SGPT):
10 days to <1 month: 10-50 U/L
 1 month to Adult: 10-40 U/L

AST (SGOT):
1 day to 1 month: 23 - 56 uL
1 month to 1 year: 19 - 46 uL
1 year to Adult: 15 - 37 uL

Bilirubin, Direct: 0.0 - 0.3 mg/dL

Bilirubin, Indirect: 0.0 - 0.7 mg/dL

Bilirubin, Total: 0.0 - 1.0 mg/dL

Globulin: 2.2 - 4.2 g/dL

Protein, Total: 
< 1 year: 5.4 - 7.0 g/dL
1 year to 4 years: 5.9 - 7.0 g/dL
4 years to 7 years: 5.9 - 7.8 g/dL
7 years to 10 years: 6.2 - 8.1 g/dL
10 years to 20 years: 6.3 - 8.6 g/dL
> 20 years: 6.3 - 8.2 g/dL


Test Comments:

The drug Eltrombopag (Promacta) and its metabolites have been identified as causing a false positive bias in total protein measurement when tested on Ortho Vitros instrumentation which is utilized at Parkview Bryan and Parkview Montpelier laboratories. If your patient is on Eltrombopag and being directed to one of these locations for testing, please contact the lab at 260-266-1500 so that testing can be performed using an alternate instrument.


Methodology:
  • Enzymatic

Production Schedule

Sites Performed
  • Parkview Cancer Institute
  • Parkview Kosciusko Hospital
  • Parkview LaGrange Hospital
  • Parkview Noble Hospital
  • Parkview Randallia Hospital
  • Parkview Regional Medical Center
  • Parkview Southwest
  • Parkview Wabash Hospital
  • Parkview Whitley Hospital
Days Performed
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Departments
  • Chemistry
Turn Around Time

Same Day/1 to 2 days


Stat Eligible

Coding & Compliance

CDM

01423946


CPT Coding

80076


Medical Necessity May Apply