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10256: Hepatic Function Panel Print View
Protein, Total S  view ref range  g/dL 
Albumin SP  3.6 - 5.1  g/dL 
Globulin CALC  view ref range  g/dL 
Albumin/Globulin Ratio CALC  1 - 2.5   
Bilirubin Total SP  view ref range  mg/dL 
Bilirubin Direct SP  < .3  mg/dL 
Bilirubin Indirect CALC  view ref range  mg/dL 
Alkaline Phosphatase S  view ref range  U/L 
AST S  view ref range  U/L 
ALT S  view ref range  U/L 

PRIMARY
1 Serum 1 (0.5) mL   Room Temperature - 24 Hour(s)/Refrigerated - 72 Hour(s)  
ALTERNATE

1 mL serum separated within 1 hr of collection.
Setup Schedule
Sunday-Saturday

Reported (Analytical Time)
Same day

CPT Code
80076

The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Notes
Transport Temperature: Refrigerated Reject Criteria: Moderately or grossly lipemic; gross hemolysis Includes: Protein, Total* Albumin* Globulin* Albumin/Globulin Ratio* Bilirubin, Total* Bilirubin, Direct* Bilirubin, Indirect* Alkaline Phosphatase* Aspartate Aminotransferase* Alanine Aminotransferase






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