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This is a sendout test. Please note that turnaround time is defined as the anticipated time from set up day to results release.
S51263: NASH Fibrosure [550140] Print View
Fibrosis score   < .22   
Fibrosis stage      
Steatosis score   < .31   
Steatosis grade      
NASH score   0.25 - 0.25   
NASH grade      
Height     Inches 
Weight     LBS 
Alpha 2-Macroglobulins, Qn   110 - 276  mg/dL 
Haptoglobin   34 - 200  mg/dL 
Apolipoprotein A-1   view ref range  mg/dL 
Bilirubin, Total   < 1.3  mg/dL 
GGT   Male: < 66
Female: < 61 
IU/L 
ALT (SGPT) P5P   Male: < 56
Female: < 41 
IU/L 
AST (SGOT) P5P   < 41  IU/L 
Cholesterol, Total   100 - 199  mg/dL 
Glucose, Serum   65 - 99  mg/dL 
Triglycerides   < 150  mg/dL 

PRIMARY
1 Serum 3.5 (2) mL   Frozen - 7 Day(s)/Refrigerated - 72 Hour(s)  
ALTERNATE

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.

Patient should be fasting for at least 8 hours before sample
collection. Freeze and ship frozen. Separate serum from cells within
2 hours of collection.
Setup Schedule
Monday-Friday

Reported (Analytical Time)
7 days

CPT Codes
83883,83010,82172,82247,82977,84460,84450,82465,82947,84478

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
Reject Criteria: Gross hemolysis; gross lipemia; improper labeling; nonfasting specimen; patient less than 14 years of age Methodology: Nephelometric, Immunoturbidimetric, Colorimetric Diazo, Enzymatic, Chemiluminescent, Hexokinase, Enzymatic






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