Patient Preparation

The patient's age and gender must be submitted for FibroSure® testing, height and weight are not required.

Patient should be fasting for at least eight hours.

Collect

Gold top tube.
3.5 mL serum, minimum 2 mL serum

Separate serum from cells within two hours of collection.

Unacceptable Conditions

Gross hemolysis; gross lipemia; improper labeling; nonfasting specimen; patient younger than 14 years of age

Storage/Transport Temperature

Specimen can be stored at room temp or refrigerated at 2°C to 8°C for 72 hours and frozen at -70°C for seven days. Frozen samples are stable for one freeze/thaw cycle.

Notes

Testing sent to LabCorp, please refer to the following web page for additional information:
 

Ordering Recommendations

NASH FibroSure® is recommended for patients with suspected nonalcoholic fatty liver disease. It is not recommended for patient with other liver diseases. It is also not recommended in patients with Gilbert disease, acute hemolysis, acute hepatitis, acute inflammation of the liver, autoimmune hepatitis, extrahepatic cholestasis, transplant patients, and/or renal insufficiency patients. Any of these clinical situations may lead to inaccurate quantitative predictions of fibrosis.

CPT Codes

[MAAA: 0003M] or 82172; 82247; 82465; 82947; 82977; 83010; 83883; 84450; 84460; 84478

**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

Labcorp

Test Build Information

OrderCode OrderName ResultCode ResultName ResultUnits LOINC CPT
NASHFB NASH FIBROSURE, LABCORP FBSCR Fibrosis Score   48795-9 82172
NASHFB NASH FIBROSURE, LABCORP FBSTA Fibrosis Stage   48794-2  
NASHFB NASH FIBROSURE, LABCORP STSCR Steatosis Score      
NASHFB NASH FIBROSURE, LABCORP STGRA Steatosis Grade      
NASHFB NASH FIBROSURE, LABCORP NASCR NASH Score   48792-6  
NASHFB NASH FIBROSURE, LABCORP NAGRA NASH Grade   48793-4  
NASHFB NASH FIBROSURE, LABCORP FBA2M Alpha 2-Macroglobulins mg/dL 1835-8  
NASHFB NASH FIBROSURE, LABCORP FBHAPT Haptoglobin mg/dL 4542-7  
NASHFB NASH FIBROSURE, LABCORP FBAA1 Apolipoprotein A-1 mg/dL 1869-7  
NASHFB NASH FIBROSURE, LABCORP FBBILT Bilirubin, Total mg/dL  1975-2  
NASHFB NASH FIBROSURE, LABCORP FBGGT GGT U/L 2324-2  
NASHFB NASH FIBROSURE, LABCORP FBALT ALT (SGPT) P5P U/L 1743-4  
NASHFB NASH FIBROSURE, LABCORP FBAST AST (SGOT) P5P U/L 30239-8  
NASHFB NASH FIBROSURE, LABCORP FBCHOL Cholesterol, Total mg/dL 2093-3  
NASHFB NASH FIBROSURE, LABCORP FBGLU Glucose, Serum mg/dL 1558-6  
NASHFB NASH FIBROSURE, LABCORP FBTRIG Triglycerides mg/dL 2571-8  
NASHFB NASH FIBROSURE, LABCORP FBINT Interpretations      

Example Report

Additional Information

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

Patient Preparation

The patient's age and gender must be submitted for FibroSure® testing, height and weight are not required.

Patient should be fasting for at least eight hours.

Collect

Gold top tube.
3.5 mL serum, minimum 2 mL serum

Separate serum from cells within two hours of collection.

Unacceptable Conditions

Gross hemolysis; gross lipemia; improper labeling; nonfasting specimen; patient younger than 14 years of age

Storage/Transport Temperature

Specimen can be stored at room temp or refrigerated at 2°C to 8°C for 72 hours and frozen at -70°C for seven days. Frozen samples are stable for one freeze/thaw cycle.

Notes

Testing sent to LabCorp, please refer to the following web page for additional information:
 
Ordering

Ordering Recommendations

NASH FibroSure® is recommended for patients with suspected nonalcoholic fatty liver disease. It is not recommended for patient with other liver diseases. It is also not recommended in patients with Gilbert disease, acute hemolysis, acute hepatitis, acute inflammation of the liver, autoimmune hepatitis, extrahepatic cholestasis, transplant patients, and/or renal insufficiency patients. Any of these clinical situations may lead to inaccurate quantitative predictions of fibrosis.

Result Interpretation
Administrative

CPT Codes

[MAAA: 0003M] or 82172; 82247; 82465; 82947; 82977; 83010; 83883; 84450; 84460; 84478

**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

Labcorp
RPS Interface Information

Test Build Information

OrderCode OrderName ResultCode ResultName ResultUnits LOINC CPT
NASHFB NASH FIBROSURE, LABCORP FBSCR Fibrosis Score   48795-9 82172
NASHFB NASH FIBROSURE, LABCORP FBSTA Fibrosis Stage   48794-2  
NASHFB NASH FIBROSURE, LABCORP STSCR Steatosis Score      
NASHFB NASH FIBROSURE, LABCORP STGRA Steatosis Grade      
NASHFB NASH FIBROSURE, LABCORP NASCR NASH Score   48792-6  
NASHFB NASH FIBROSURE, LABCORP NAGRA NASH Grade   48793-4  
NASHFB NASH FIBROSURE, LABCORP FBA2M Alpha 2-Macroglobulins mg/dL 1835-8  
NASHFB NASH FIBROSURE, LABCORP FBHAPT Haptoglobin mg/dL 4542-7  
NASHFB NASH FIBROSURE, LABCORP FBAA1 Apolipoprotein A-1 mg/dL 1869-7  
NASHFB NASH FIBROSURE, LABCORP FBBILT Bilirubin, Total mg/dL  1975-2  
NASHFB NASH FIBROSURE, LABCORP FBGGT GGT U/L 2324-2  
NASHFB NASH FIBROSURE, LABCORP FBALT ALT (SGPT) P5P U/L 1743-4  
NASHFB NASH FIBROSURE, LABCORP FBAST AST (SGOT) P5P U/L 30239-8  
NASHFB NASH FIBROSURE, LABCORP FBCHOL Cholesterol, Total mg/dL 2093-3  
NASHFB NASH FIBROSURE, LABCORP FBGLU Glucose, Serum mg/dL 1558-6  
NASHFB NASH FIBROSURE, LABCORP FBTRIG Triglycerides mg/dL 2571-8  
NASHFB NASH FIBROSURE, LABCORP FBINT Interpretations      

Example Report

Additional Information

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