Epic ID

LAB20

Performing Lab

UCHealth Highlands Ranch Hospital Laboratory-Chemistry

Collect

One 4.5 mL green top with gel (PST) (lithium heparin plasma).
Also acceptable: Gold top (SST); Red top, no gel.

Pediatric Collection

0.2 mL plasma.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately. Offsite: Centrifuge within 2 hours of collection. Transport to laboratory at 2-8 degrees C.

Stability (from collection to initiation)

Ambient: 4 hours Refrigerated: 3 days Frozen: 1 month

Remarks

Tests included in the panel: Albumin Alkaline Phosphate (ALP) AST ALT Total Bilirubin Direct Bilirubin Indirect Bilirubin Total Protein

Epic ID

LAB20

Reference Interval

HEPATIC FUNCTION PANEL                          ALB, ALP, ALT, AST, BILI D, BILI I, BILI T, PROT
ALBUMIN 0 up to 5D:   M:2.0-3.6    F:2.0-3.6 g/dL
5D up to 1Y: M: 2.0-4.9 F: 1.8-4.7 g/dL
1Y up to 3Y M: 3.4-4.2 F:3.4-4.2 g/dL
3Y up to 6Y:   M: 3.5-5.2  F: 3.5-5.2 g/dL
6Y up to 19Y: M: 3.7-5.6 F:3.7-5.6 g/dL
19Y to unspec.: 3.5-5.0 g/dl       
ALKP 0D up to 8D:  M: 77-265     F: 65-270 U/L
8D up to 30D: M: 91-375   F: 65-365 U/L
1M up to 4M:    M: 60-360  F: 80-425 U/L
4M up to 7M:  M: 55-325   F: 80-345 U/L
7M up to 12M:   M: 60-300 F: 60-330 U/L
1Y up to 4Y: M: 129-291 F: 129-291 U/L
4Y up to 7Y: M: 134-346 F: 134-346 U/L
7Y up to 10Y:  M: 156-386 F: 156-386 U/L
10Y up to 12Y: M: 120-488 F: 116-515 U/L
12Y up to 14Y: M: 178-455 F: 93-386 U/L
14Y up to 16Y: M: 116-483 F: 62-209 U/L
16Y up to 20Y: M: 58-237 F: 45-116 U/L
20Y up to unspec.: 38-126 U/L           (vendor pkg insert)
ALT 0D up to 8D:  M: 6-40 F: 7-40 U/L
8D up to 30D: M: 10-40 F: 8-32 U/L
31D up to 4M: M: 13-39 F: 12-47 U/L
4M up to 7M: M: 12-42 F: 12-37 U/L
7M up to 12M:   M: 13-45 F: 12-41 U/L
1Y up to 4Y:  M: 5-45 F: 5-45 U/L
4Y up to 7Y: M: 10-25 F: 10-25 U/L
7Y up to 10Y:  M: 10-35 F: 10-35 U/L
10Y up to 12Y: M: 10-35 F: 10-30 U/L
12Y up to 14Y: M: 10-55 F: 10-30 U/L
14Y up to 16Y: M: 10-45 F: 5-30 U/L
16Y up to 20Y: M: 10-40 F: 5-35 U/L
20Y up to unspec:   M: 12-72    F: 9-52 U/L
AST   0D up to 8D:  M: 30-100 F: 24-95 U/L
8D up to 30D: M: 20-70 F: 24-72 U/L
31D up to 4M: M: 22-63 F: 20-64 U/L
4M up to 7M: M: 13-65 F: 20-63 U/L
7M up to 12M:   M: 25-55 F: 20-60 U/L
1Y up to 4Y:  M: 20-60 F: 20-60 U/L
4Y up to 7Y: M: 15-50 F: 15-50 U/L
7Y up to 10Y:  M: 15-40 F: 15-40 U/L
10Y up to 12Y: M: 10-60 F: 10-40 U/L
12Y up to 14Y: M: 15-40 F: 10-30 U/L
14Y up to 16Y: M: 15-40 F: 10-30 U/L
16Y up to 20Y: M: 15-45 F: 5-30 U/L
20Y up to unspec.:   M: 16-63 U/L   F: 16-55 U/L  
Bilirubin, Direct ≤14 days old: 0.0-0.6
>14 D: 0.0-0.3 mg/dl 
Bilirubin, Indirect ≤14 days old: 0.6-10.5 mg/dL
>14 D: 0.0-1.1 mg/dL 
Bilirubin, Total 1.0-10.5 mg/dL
Protein, Total 0 up to 2M: M: 3.8-7.6 F: 3.8-7.0
2M up to 12M: M: 3.6-7.9 F: 3.9-7.8
1Y up to 7Y: M: 5.9-7.8 F: 5.9-7.8
7Y up to 19Y: M: 6.2-8.6 F: 6.2-8.6
19Y up to unspec: 6.3-8.2 g/dL

CPT Codes

80076
Collection

Epic ID

LAB20

Performing Lab

UCHealth Highlands Ranch Hospital Laboratory-Chemistry

Collect

One 4.5 mL green top with gel (PST) (lithium heparin plasma).
Also acceptable: Gold top (SST); Red top, no gel.

Pediatric Collection

0.2 mL plasma.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately. Offsite: Centrifuge within 2 hours of collection. Transport to laboratory at 2-8 degrees C.

Stability (from collection to initiation)

Ambient: 4 hours Refrigerated: 3 days Frozen: 1 month

Remarks

Tests included in the panel: Albumin Alkaline Phosphate (ALP) AST ALT Total Bilirubin Direct Bilirubin Indirect Bilirubin Total Protein
Ordering

Epic ID

LAB20
Result Interpretation

Reference Interval

HEPATIC FUNCTION PANEL                          ALB, ALP, ALT, AST, BILI D, BILI I, BILI T, PROT
ALBUMIN 0 up to 5D:   M:2.0-3.6    F:2.0-3.6 g/dL
5D up to 1Y: M: 2.0-4.9 F: 1.8-4.7 g/dL
1Y up to 3Y M: 3.4-4.2 F:3.4-4.2 g/dL
3Y up to 6Y:   M: 3.5-5.2  F: 3.5-5.2 g/dL
6Y up to 19Y: M: 3.7-5.6 F:3.7-5.6 g/dL
19Y to unspec.: 3.5-5.0 g/dl       
ALKP 0D up to 8D:  M: 77-265     F: 65-270 U/L
8D up to 30D: M: 91-375   F: 65-365 U/L
1M up to 4M:    M: 60-360  F: 80-425 U/L
4M up to 7M:  M: 55-325   F: 80-345 U/L
7M up to 12M:   M: 60-300 F: 60-330 U/L
1Y up to 4Y: M: 129-291 F: 129-291 U/L
4Y up to 7Y: M: 134-346 F: 134-346 U/L
7Y up to 10Y:  M: 156-386 F: 156-386 U/L
10Y up to 12Y: M: 120-488 F: 116-515 U/L
12Y up to 14Y: M: 178-455 F: 93-386 U/L
14Y up to 16Y: M: 116-483 F: 62-209 U/L
16Y up to 20Y: M: 58-237 F: 45-116 U/L
20Y up to unspec.: 38-126 U/L           (vendor pkg insert)
ALT 0D up to 8D:  M: 6-40 F: 7-40 U/L
8D up to 30D: M: 10-40 F: 8-32 U/L
31D up to 4M: M: 13-39 F: 12-47 U/L
4M up to 7M: M: 12-42 F: 12-37 U/L
7M up to 12M:   M: 13-45 F: 12-41 U/L
1Y up to 4Y:  M: 5-45 F: 5-45 U/L
4Y up to 7Y: M: 10-25 F: 10-25 U/L
7Y up to 10Y:  M: 10-35 F: 10-35 U/L
10Y up to 12Y: M: 10-35 F: 10-30 U/L
12Y up to 14Y: M: 10-55 F: 10-30 U/L
14Y up to 16Y: M: 10-45 F: 5-30 U/L
16Y up to 20Y: M: 10-40 F: 5-35 U/L
20Y up to unspec:   M: 12-72    F: 9-52 U/L
AST   0D up to 8D:  M: 30-100 F: 24-95 U/L
8D up to 30D: M: 20-70 F: 24-72 U/L
31D up to 4M: M: 22-63 F: 20-64 U/L
4M up to 7M: M: 13-65 F: 20-63 U/L
7M up to 12M:   M: 25-55 F: 20-60 U/L
1Y up to 4Y:  M: 20-60 F: 20-60 U/L
4Y up to 7Y: M: 15-50 F: 15-50 U/L
7Y up to 10Y:  M: 15-40 F: 15-40 U/L
10Y up to 12Y: M: 10-60 F: 10-40 U/L
12Y up to 14Y: M: 15-40 F: 10-30 U/L
14Y up to 16Y: M: 15-40 F: 10-30 U/L
16Y up to 20Y: M: 15-45 F: 5-30 U/L
20Y up to unspec.:   M: 16-63 U/L   F: 16-55 U/L  
Bilirubin, Direct ≤14 days old: 0.0-0.6
>14 D: 0.0-0.3 mg/dl 
Bilirubin, Indirect ≤14 days old: 0.6-10.5 mg/dL
>14 D: 0.0-1.1 mg/dL 
Bilirubin, Total 1.0-10.5 mg/dL
Protein, Total 0 up to 2M: M: 3.8-7.6 F: 3.8-7.0
2M up to 12M: M: 3.6-7.9 F: 3.9-7.8
1Y up to 7Y: M: 5.9-7.8 F: 5.9-7.8
7Y up to 19Y: M: 6.2-8.6 F: 6.2-8.6
19Y up to unspec: 6.3-8.2 g/dL
Administrative

CPT Codes

80076

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