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HelpTest Code NASHP / 550960-LC NASH FIBROSURE PLUS
Additional Codes
| Software | Test Code |
|---|---|
| Label Text | NASHP |
| EPIC | LAB20636 |
| LabCorp | 550960 |
Performing Laboratory
Laboratory Corporation of America (LabCorp)
Useful For
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 and gender 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<0.41) precludes the diagnosis of NASH.
Reference Values
An interpretive report will be issued
Days and Times Test Performed
Monday through Friday
Report Available
4-6 Days
Analytic time for send out tests is the time it will take to perform testing once it has arrived at the performing reference lab. Please add 1 to 2 days from time of collection to allow for receipt at NorDx central lab and shipment of specimen, add another day if specimen is collected on the day before a weekend or holiday.
Profile Information
|
Individual Test Description |
|---|
| Fibrosis Score |
| Fibrosis Stage |
| Steatosis Score |
| Steatosis Grade |
| NASH Score |
| NASH Grade |
| Alpha 2-Macroglobulins, QN |
| Haptoglobin |
| Apolipoprotein A-1 |
| Bilirubin, Total |
| GGT |
| ALT (SGPT) P5P |
| AST (SGOT) P5P |
| Cholesterol, Total |
| Glucose, Serum |
| Triglycerides |
| Interpretations: |
| Fibrosis Scoring: |
| Steatosis Scoring |
| NASH Scoring |
| Limitations |
Specimen Type
Serum
Preferred Container
Serum Separator Tube (SST)
Preferred Volume
Serum: 3.5 mL (Serum Separator Tube (SST))
Specimen Collection and Handling
Patient should be FASTING for at least eight hours.
To Process:
Spin specimen, separate from clot within 2 hours of collection and send frozen in a standard transfer tube with screw-top cap.
Specimen Stability Information
Specimen Type: Serum
Frozen: 7 Days
Refrigerated: 72 Hours
Room Temperature: 72 hours
Must be spun/separated within: 2 Hours
Note: Frozen samples are stable for one freeze/thaw cycle.
Add On Capable
Yes
Advance Beneficiary Notice Requirements
This test, when ordered on Medicare patients, is subject to the National Coverage Determination (NCD) policies. Please verify that the diagnosis code (ICD code) you have chosen demonstrates medical necessity for the test as documented in the physician’s patient record. The CMS web site is available to assist you with this verification. A properly executed Advance Beneficiary Notice (ABN) must be submitted with the specimen if medical necessity is not demonstrated by the ICD code chosen.
CPT Code Information
|
CPT Code |
CPT Description |
CPT Disclaimer |
|---|---|---|
| MAAA: 0003M |
Multianalyte Assay |
Keywords
FATTY LIVER DISEASE
NONALCOHOLIC FATTY LIVER DISEASE
NONINVASIVE LIVER BIOPSY
STEATOHEPATITIS
Performing Laboratory Location
Laboratory Corporation of America (LabCorp)
Acceptable Alternative Container(s)
Red Top Tube
Rejection Information
Gross hemolysis; gross lipemia; improper labeling; nonfasting specimen; patient YOUNGER THAN 14 years of age
Minimum Volume
Serum: 2 mL (Serum Separator Tube (SST))