Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Order Display Name: Geisinger Epic Procedure Code Or ID CPT Code:  

NASH FIBROSURE

ORDERING INFORMATION:
Geisinger Epic Procedure Code: LAB1068         Geisinger Epic ID: 52197

SPECIMEN COLLECTION
Specimen type:
Serum
Preferred collection container:
Alternate Collection Container:
6 mL red-top (plain, non-serum separator) tube
Specimen required:
3.2 mL serum (minimum 2 mL) protected from light.
Special notes:
Freeze and ship frozen. Separate serum from cells within 2 hours of collection. Age, sex, height, and weight are required for this test.
Patient preparation:
Patient should be fasting for at least 8 hours before sample collection.

SPECIMEN PROCESSING
Specimen processing instructions:
Centrifuge and aliquot. Protect from light. 
Transport temperature:
Frozen.
Specimen stability:
Room temperature: Unacceptable. Refrigerated: 72 hours. Frozen: 7 days.
Rejection criteria:
Gross hemolysis • Gross lipemia • Improper labeling • Nonfasting specimen • Patient less than 14 years of age

TEST DETAILS
CPT code(s):
0003M
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.  The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.
Methodology:
Chemiluminescence
Colorimetric Dazo
Enzymatic
Hexokinase
Immunoturbidity
Nephelometry
Synonyms:
Quest test code 18692, NASH FibroSU, nonalcoholic steatohepatitis
Clinical significance:
This test is a noninvasive assessment of liver status in patients with nonalcoholic fatty liver disease (NAFLD). Quantitative results of 10 biochemicals, in combination with age, gender, height, and weight, are analyzed using a computational algorithm to provide a quantitative surrogate marker (0.0-1.0) of liver fibrosis (Metavir F0-F4), hepatic steatosis (0.0-1.0, S0-S3), and nonalcoholic steatohepatitis (NASH) (0.0-0.75, N0-N2). The absence of steatosis (S < 0.38) precludes the diagnosis of NASH.

Performing Locations

Quest Diagnostics

Technical Lead: Michael Weaver    
Frequency: Set up: Mon-Fri; Report available: 5-7 days    
Performed stat? No
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