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Liver Fibrosis, FibroTest-ActiTest Panel

Test Summary

FibroTest and ActiTest permit the non-invasive evaluation of Hepatitis C (or B) individuals for the presence of liver fibrosis and liver inflammation, respectively. The FibroTest and ActiTest scores are calculated based on patient age, gender and concentrations of serum of y-glutamyl transferase (GGT), total bilirubin (TB), a-2 macroglobulin, haptoglobin, apolipoprotein A1 and alanine aminotransferase (ActiTest). Fibrotest and ActiTest Scores, on a scale of 0.0 to 1.0, are assigned a Metavir scale indicating the level of fibrosis or inflammation present.

Aliases

  • N/A

Specimen Collection

Special Instructions

N/A

Preferred Specimen

3.5 mL serum

Minimum Volume

2 mL

Instructions

Serum should be separated from the cells as soon as possible after visible clot formation (usually 15-30 minutes after collection). Avoid freezing and thawing.

Patient Preparation

Overnight fasting is preferred

Storage

Plastic screw-cap vial

Transport Temperature

Frozen

Specimen Stability

  • Room temperature: 24 hours
  • Refrigerated: 72 hours
  • Frozen -20° C: 5 days
  • Frozen -70° C: 28 days

Limitations

N/A

Other Acceptable Specimens

N/A

Unacceptable Specimens

Gross hemolysis • Grossly lipemic • Patients <2 years old • QNS for one or more analytes

Order Code

LVRFIB

EPIC (Premier) Code

LAB5702

Includes

Fibrosis Score, Fibrosis Stage, Fibrosis Interpretation
Necroinflammat Act Score, Necroinflammat Act Grade, Necroinflammat Interpretation
Alpha-2-Macroglobulin
Haptoglobin
Apolipoprotein A1
Total Bilirubin
GGT
ALT

CPT Code

  • 81596

Billing Code

  • 700000

CPT Statement

Methodology

Nephelometry • Spectrophotometry (SP)

FDA Status

This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Physician Attestation of Informed Consent

N/A

Testing Laboratory

Quest Diagnostics Nichols Institute
33608 Ortega Highway
San Juan Capistrano CA, 92675

Reference Range

See Laboratory Report

Setup Schedule / Expected Turnaround Time

Monday - Saturday; Report available: 2 - 5 days

Specimen Collection

Special Instructions

N/A

Preferred Specimen

3.5 mL serum

Minimum Volume

2 mL

Instructions

Serum should be separated from the cells as soon as possible after visible clot formation (usually 15-30 minutes after collection). Avoid freezing and thawing.

Patient Preparation

Overnight fasting is preferred

Storage

Plastic screw-cap vial

Transport Temperature

Frozen

Specimen Stability

  • Room temperature: 24 hours
  • Refrigerated: 72 hours
  • Frozen -20° C: 5 days
  • Frozen -70° C: 28 days

Limitations

N/A

Other Acceptable Specimens

N/A

Unacceptable Specimens

Gross hemolysis • Grossly lipemic • Patients <2 years old • QNS for one or more analytes

Billing

CPT Code

  • 81596

Billing Code

  • 700000

CPT Statement

Result Information

Methodology

Nephelometry • Spectrophotometry (SP)

Testing Laboratory

N/A

Reference Range

See Laboratory Report

Setup Schedule / Expected Turnaround Time

Monday - Saturday; Report available: 2 - 5 days