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Additional Codes
LAB131
Performing Laboratory
Porter Hospital Laboratory
Specimen Requirements
Specimen Type: Blood
Container/Tube: Tiger top, serum gel
Also Acceptable: Green top (Lithium Heparin)
Specimen Volume: Full tube, submit 0.6 mL serum
Specimen Minimum Volume: 0.3 mL
Collection Instructions:
1. Send specimen in original tube.
2. If there is a delay in transport of >1 hour, centrifuge tube.
3. Centrifuged samples are stable for:
• 7 days at 2-8 °C
NOTE: Hemolysis can affect the results. Please submit non-hemolyzed sample.
Specimen Transport Temperature
Refrigerated
Test Classification and CPT Coding
84450
Test Schedule / Analytical Time / Test Priority / Turn Around Time
Daily / 24 Hours / Available STAT / Routine - 4 Hours
STAT - 60 Minutes
Normal Reference Values
| 0 up to 15 Days | Female | 29-213 U/L |
| 15 Days up to 1 Years | Female | 29-97 U/L |
| 1 Years up to 7 Years | Female | 33-66 U/L |
| 7 Years up to 12 Years | Female | 28-50 U/L |
| 12 Years up to 18 Years | Female | 23-41 U/L |
| 18 Years up to Unspecified | Female | 15-46 U/L |
| 0 up to 15 Days | Male | 29-213 U/L |
| 15 Days up to 1 Years | Male | 29-97 U/L |
| 1 Years up to 7 Years | Male | 33-66 U/L |
| 7 Years up to 12 Years | Male | 28-50 U/L |
| 12 Years up to 18 Years | Male | 24-49 U/L |
| 18 Years up to Unspecified | Male | 15-46 U/L |
Critical Values
None