FIB-4 w/reflex to NASH FibroSure® Plus

Specimen:

Test Code

FIB4R

Specimen Name

FIB-4 w/reflex to NASH FibroSure® Plus

Collect

1-EDTA, 2-SST

Submit

4 mLs (Min: 3 mLs) serum divided into 2 transport tubes; 4 mLs EDTA Whole Blood

Special Handling

Serum: Separate from cells within 45 minutes of collection; Whole blood: Invert EDTA tube immediately 8 to 10 times once tube is filled at the time of collection

Rejection Criteria

Serum: Gross hemolysis; gross lipemia; improper labeling; nonfasting specimen; patient younger than 14 years of age; Whole blood: Hemolysis; clotted specimen; tube not filled with minimum volume; improper labeling; transfer tubes with whole blood; specimen diluted or contaminated with IV fluid; specimen received with plasma removed; specimen collected in any anticoagulant other than EDTA

Stability

Preferred/Transport Refrigerated Serum 14 days, Whole blood 3 days; Ambient Serum 7 days, Whole blood 1 day; Frozen Unstable

Methodology

Please see individual components for methodology

Performed

Reported

2-8 days

CPT Codes

  • 84450
  • 84460
  • 85049

Components

Alanine aminotransferase (ALT/SGPT); aspartate aminotransferase (AST/SGOT); FIB-4 Index (by calculation); platelet count. If FIB-4 Index is >1.29, testing will reflex to NASH FibroSure® Plus, performed at an additional charge.

Additional Information

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Test Information

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Common Lab Definitions

  • Serum 
  • Plasma 
  • STT