Patient Preparation

Fasting for 12 hours or more is REQUIRED.

Collect

Both serum and plasma are required for this test.

One Gold top serum separator tube (2 mL serum)
AND
One Grey top tube (0.25 mL plasma)


 

Specimen Preparation

Collection Instructions:
SERUM

1. Centrifuge and aliquot within 2 hours of collection.
2. Centrifuged serum must be light protected within 4 hours of collection. It is acceptable to draw the blood and then protect it from light after centrifugation as long as it's within 4 hours of collection.  
3. Label specimen as serum.

PLASMA

1. Centrifuge and aliquot plasma within 2 hours of collection
2. Label specimen as plasma


 

Unacceptable Conditions

Gross hemolysis Reject
Gross lipemia Reject
Gross icterus Reject
Other Patients <14 years of age

Stability (from collection to initiation)

Specimen Type Temperature Time Special Container
Plasma NaFl-KOx Refrigerated (preferred) 7 days  
  Frozen  14 days  
  Ambient  7 days  
Serum Refrigerated (preferred) 7 days LIGHT PROTECTED
  Frozen  14 days LIGHT PROTECTED
  Ambient  24 hours LIGHT PROTECTED

Notes

Testing sent to Mayo Medical Laboratories.  For more information go to:
https://www.mayocliniclabs.com/test-catalog/Overview/604200

Ordering Recommendations

Diagnosis and the follow-up of liver fibrosis, steatosis and inflammation

Estimating hepatic fibrosis

Assessing inflammation for metabolic diseases. It is interpretable for assessing severity of nonalcoholic steatohepatitis (NASH) in patients with nonalcoholic fatty liver disease with steatosis (NAFLD)

Assessing steatosis or fatty liver

Reassuring patients with steatosis only, without fibrosis

Managing patients with severe injuries such as advanced fibrosis and NASH

Methodology

NASH-FibroTest Interpretation

Proprietary algorithm owned by BioPredictive.

Interpretive Data

Please refer to Mayo Medical Laboratory website:
https://www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/604200
 

CPT Codes

0003M

​​​​​​​**CPT code is subject to limited coverage policies for many payers and may require an ABN or Patient Consent for Non-Covered Laboratory Services when ordering

Performing Lab

MAYO

Test Build Information

OrderCode OrderName ResultCode ResultName ResultUnits LOINC CPT
NSFIB NASH FIBROTEST, MAYO SCRF FibroTest Score   48795-9 0003M
NSFIB NASH FIBROTEST, MAYO STGF FibroTest Stage   48794-2  
NSFIB NASH FIBROTEST, MAYO INTEF FibroTest Interp   88447-8  
NSFIB NASH FIBROTEST, MAYO SCRN2 NashTest 2 Score   93692-2  
NSFIB NASH FIBROTEST, MAYO GRDN NashTest 2 Grade   93693-0  
NSFIB NASH FIBROTEST, MAYO INTEN NashTest 2 Interp   93694-8  
NSFIB NASH FIBROTEST, MAYO SCRS2 SteatoTest 2 Score   93695-5  
NSFIB NASH FIBROTEST, MAYO GRDS SteatoTest 2 Grade   93696-3  
NSFIB NASH FIBROTEST, MAYO INTEI SteatoTest 2 Interp   93697-1  
NSFIB NASH FIBROTEST, MAYO CMMS NASH FibroTest Comment   48767-8  
NSFIB NASH FIBROTEST, MAYO NUM BioPredictive Serial Number   74715-4  
NSFIB NASH FIBROTEST, MAYO APOAF Apolipoprotein A1 mg/dL 1869-7  
NSFIB NASH FIBROTEST, MAYO A2MF Alpha-2-Macroglobulin mg/dL 1835-8  
NSFIB NASH FIBROTEST, MAYO HAPTF Haptoglobin mg/dL 46127-7  
NSFIB NASH FIBROTEST, MAYO ALTF ALT U/L 1743-4  
NSFIB NASH FIBROTEST, MAYO GGTF GGT U/L 2324-2  
NSFIB NASH FIBROTEST, MAYO TBILF Bilirubin, Total mg/dL 1975-2  
NSFIB NASH FIBROTEST, MAYO ASTF AST U/L 30239-8  
NSFIB NASH FIBROTEST, MAYO CHOLF Cholesterol, Total mg/dL 2093-3  
NSFIB NASH FIBROTEST, MAYO TRIGF Triglycerides mg/dL 2571-8  
NSFIB NASH FIBROTEST, MAYO GLURF Glucose, Fasting mg/dL 1558-6  

Additional Information

For additional information or questions, contact RPSInterfaceSupport@unmc.edu
Collection

Patient Preparation

Fasting for 12 hours or more is REQUIRED.

Collect

Both serum and plasma are required for this test.

One Gold top serum separator tube (2 mL serum)
AND
One Grey top tube (0.25 mL plasma)


 

Specimen Preparation

Collection Instructions:
SERUM

1. Centrifuge and aliquot within 2 hours of collection.
2. Centrifuged serum must be light protected within 4 hours of collection. It is acceptable to draw the blood and then protect it from light after centrifugation as long as it's within 4 hours of collection.  
3. Label specimen as serum.

PLASMA

1. Centrifuge and aliquot plasma within 2 hours of collection
2. Label specimen as plasma


 

Unacceptable Conditions

Gross hemolysis Reject
Gross lipemia Reject
Gross icterus Reject
Other Patients <14 years of age

Stability (from collection to initiation)

Specimen Type Temperature Time Special Container
Plasma NaFl-KOx Refrigerated (preferred) 7 days  
  Frozen  14 days  
  Ambient  7 days  
Serum Refrigerated (preferred) 7 days LIGHT PROTECTED
  Frozen  14 days LIGHT PROTECTED
  Ambient  24 hours LIGHT PROTECTED

Notes

Testing sent to Mayo Medical Laboratories.  For more information go to:
https://www.mayocliniclabs.com/test-catalog/Overview/604200
Ordering

Ordering Recommendations

Diagnosis and the follow-up of liver fibrosis, steatosis and inflammation

Estimating hepatic fibrosis

Assessing inflammation for metabolic diseases. It is interpretable for assessing severity of nonalcoholic steatohepatitis (NASH) in patients with nonalcoholic fatty liver disease with steatosis (NAFLD)

Assessing steatosis or fatty liver

Reassuring patients with steatosis only, without fibrosis

Managing patients with severe injuries such as advanced fibrosis and NASH

Methodology

NASH-FibroTest Interpretation

Proprietary algorithm owned by BioPredictive.
Result Interpretation

Interpretive Data

Please refer to Mayo Medical Laboratory website:
https://www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/604200
 
Administrative

CPT Codes

0003M

​​​​​​​**CPT code is subject to limited coverage policies for many payers and may require an ABN or Patient Consent for Non-Covered Laboratory Services when ordering

Performing Lab

MAYO
RPS Interface Information

Test Build Information

OrderCode OrderName ResultCode ResultName ResultUnits LOINC CPT
NSFIB NASH FIBROTEST, MAYO SCRF FibroTest Score   48795-9 0003M
NSFIB NASH FIBROTEST, MAYO STGF FibroTest Stage   48794-2  
NSFIB NASH FIBROTEST, MAYO INTEF FibroTest Interp   88447-8  
NSFIB NASH FIBROTEST, MAYO SCRN2 NashTest 2 Score   93692-2  
NSFIB NASH FIBROTEST, MAYO GRDN NashTest 2 Grade   93693-0  
NSFIB NASH FIBROTEST, MAYO INTEN NashTest 2 Interp   93694-8  
NSFIB NASH FIBROTEST, MAYO SCRS2 SteatoTest 2 Score   93695-5  
NSFIB NASH FIBROTEST, MAYO GRDS SteatoTest 2 Grade   93696-3  
NSFIB NASH FIBROTEST, MAYO INTEI SteatoTest 2 Interp   93697-1  
NSFIB NASH FIBROTEST, MAYO CMMS NASH FibroTest Comment   48767-8  
NSFIB NASH FIBROTEST, MAYO NUM BioPredictive Serial Number   74715-4  
NSFIB NASH FIBROTEST, MAYO APOAF Apolipoprotein A1 mg/dL 1869-7  
NSFIB NASH FIBROTEST, MAYO A2MF Alpha-2-Macroglobulin mg/dL 1835-8  
NSFIB NASH FIBROTEST, MAYO HAPTF Haptoglobin mg/dL 46127-7  
NSFIB NASH FIBROTEST, MAYO ALTF ALT U/L 1743-4  
NSFIB NASH FIBROTEST, MAYO GGTF GGT U/L 2324-2  
NSFIB NASH FIBROTEST, MAYO TBILF Bilirubin, Total mg/dL 1975-2  
NSFIB NASH FIBROTEST, MAYO ASTF AST U/L 30239-8  
NSFIB NASH FIBROTEST, MAYO CHOLF Cholesterol, Total mg/dL 2093-3  
NSFIB NASH FIBROTEST, MAYO TRIGF Triglycerides mg/dL 2571-8  
NSFIB NASH FIBROTEST, MAYO GLURF Glucose, Fasting mg/dL 1558-6  

Additional Information

For additional information or questions, contact RPSInterfaceSupport@unmc.edu

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