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Nonalcoholic Steatohepatitis (NASH)-FibroTest, Serum and Plasma

Test Summary

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

Aliases

  • NASH, steatosis

Specimen Collection

Special Instructions

Both serum and plasma are required for this test.

Preferred Specimen

4 mL serum in an amber vial, 1 mL plasma (Gray top (potassium oxalate/sodium fluoride)

Minimum Volume

2 mL serum from a red top tube and 0.25mL plasma from a gray top (potassium oxalate/sodium fluoride)

Instructions

4 mL serum in an amber vial
1. Centrifuge and aliquot serum into an amber vial 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 if it is within 4 hours of collection.
3. Label specimen as serum. 1 mL plasma from a gray top (potassium oxalate/sodium fluoride)

1. Centrifuge and aliquot plasma into plastic vial.
2. Label specimen as plasma.

Patient Preparation

Fasting for at a minimum of 12 hours is required. This test is not offered for patients younger than 14 years of age. Testing will be canceled if a specimen is received from a patient in this age group.

Storage

Amber vial of serum, plastic vial of plasma

Transport Temperature

Refrigerated

Specimen Stability

  • Serum
  • Room Temperature: 24 hours
  • Refrigerated: 7 days
  • Frozen: 14 days
  • PLASMA
  • Room Temperature: 7 days
  • Refrigerated: 7 days
  • Frozen: 14 days

Limitations

N/A

Other Acceptable Specimens

N/A

Unacceptable Specimens

Serum not light protected, gross hemolysis, gross lipemia, gross icterus, patients <14 years old

Order Code

NSFIB

EPIC (Premier) Code

LAB6809

Includes

N/A

CPT Code

  • 0003M

Billing Code

  • 650067

CPT Statement

Methodology

Automated Turbidimetric Immunoassay,
Nephelometry,
Photometric Rate,
Enzymatic Colorimetric

FDA Status

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.

Physician Attestation of Informed Consent

N/A

Testing Laboratory

Mayo Clinic Laboratories
200 First Street SW
Rochester MN, 55905

Department

Reference Testing

Reference Range

N/A

Setup Schedule / Expected Turnaround Time

Monday - Friday; Report available: 2 - 4 days

Specimen Collection

Special Instructions

Both serum and plasma are required for this test.

Preferred Specimen

4 mL serum in an amber vial, 1 mL plasma (Gray top (potassium oxalate/sodium fluoride)

Minimum Volume

2 mL serum from a red top tube and 0.25mL plasma from a gray top (potassium oxalate/sodium fluoride)

Instructions

4 mL serum in an amber vial
1. Centrifuge and aliquot serum into an amber vial 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 if it is within 4 hours of collection.
3. Label specimen as serum. 1 mL plasma from a gray top (potassium oxalate/sodium fluoride)

1. Centrifuge and aliquot plasma into plastic vial.
2. Label specimen as plasma.

Patient Preparation

Fasting for at a minimum of 12 hours is required. This test is not offered for patients younger than 14 years of age. Testing will be canceled if a specimen is received from a patient in this age group.

Storage

Amber vial of serum, plastic vial of plasma

Transport Temperature

Refrigerated

Specimen Stability

  • Serum
  • Room Temperature: 24 hours
  • Refrigerated: 7 days
  • Frozen: 14 days
  • PLASMA
  • Room Temperature: 7 days
  • Refrigerated: 7 days
  • Frozen: 14 days

Limitations

N/A

Other Acceptable Specimens

N/A

Unacceptable Specimens

Serum not light protected, gross hemolysis, gross lipemia, gross icterus, patients <14 years old

Billing

CPT Code

  • 0003M

Billing Code

  • 650067

CPT Statement

Result Information

Methodology

Automated Turbidimetric Immunoassay,
Nephelometry,
Photometric Rate,
Enzymatic Colorimetric

Testing Laboratory

N/A

Reference Range

N/A

Setup Schedule / Expected Turnaround Time

Monday - Friday; Report available: 2 - 4 days