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92688: Liver Fibrosis, FibroTest-ActiTest Panel Print View
Fibrosis Score      
Fibrosis Stage      
Fibrosis Interpretation      
Necroinflammat Act Score      
Necroinflammat Act Grade      
Necroinflammat Interp      
Alpha-2-Macroglobulin     mg/dL 
Haptoglobin     mg/dL 
Apolipoprotein A1     mg/dL 
Total Bilirubin     mg/dL 
GGT     U/L 
ALT     U/L 
Reference ID      
Footnote      

PRIMARY
1 Serum 3.5 (2) mL   Frozen - 5 Day(s)/Refrigerated - 5 Day(s)/Room Temperature - 24 Hour(s)  
ALTERNATE

FibroTest and ActiTest permit the non-invasive evaluation of Hepatitis C (or B) individuals for the presence of liver fibrosis and liver inflammation, respectively. The FibroTest and ActiTest scores are calculated based on patient age, gender and concentrations of serum of y-glutamyl transferase (GGT), total bilirubin (TB), a-2 macroglobulin, haptoglobin, apolipoprotein A1 and alanine aminotransferase (ActiTest). Fibrotest and ActiTest Scores, on a scale of 0.0 to 1.0, are assigned a Metavir scale indicating the level of fibrosis or inflammation present.

Overnight fasting is preferred.

Serum should be separated from the cells as soon as possible after
visible clot formation (usually 15-30 minutes after collection).
Avoid freezing and thawing.
Setup Schedule
Monday-Saturday

Reported (Analytical Time)
Same day

CPT Code
0001M

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: Frozen Methodology: Nephelometry and Spectrophotometry Reject Criteria: Grossly lipemic; gross hemolysis; patients <2 years old; QNS for one or more analytes Frozen stability -70 degrees: 28 days






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