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Test Code CHEM49 ALP ALT AST LD

Synonym

  • ENZ4

Profile Information

Reporting Name Available Separately Always Reported
Alkaline Phosphatase Yes Yes
ALT Yes Yes
AST Yes Yes
LD Total Yes Yes

Specimen Required

Preferred Container/Tube: Mint Green Top
Acceptable Container/Tube: Mint Green Top, Gold SST Top
Specimen Volume: 3 mL
Specimen Minimum Volume: 2 mL

Specimen Stability Information

Ambient: 6 hours

Specimen Collection Information

Avoid Hemolysis. Serum should be separated from the cells within two hours after collection.

Rejection Due To

  • Gross hemolysis
  • Gross icterus
  • Quantity not sufficient

Reference Values

FEMALE MALE

ALP
0-30 days: 48-406 U/L
31-365 days: 124-341 U/L
1-3 years: 108-317 U/L
4-6 years: 96-297 U/L
7-9 years: 69-325 U/L
10-12 years: 51-332 U/L
13-15 years: 50-162 U/L
16-18 years: 47-119 U/L
19+ years: 32-126 U/L


ALT
0-30 days: 8-25 U/L
31 days-4 years: 8-30 U/L
4-6 years: 8-25 U/L
7-9 years: 8-25 U/L
10-17 years: 8-20 U/L
18+ years: 9-48 U/L


AST
0-30 days: 0-49 U/L
31-365 days: 0-80 U/L
1-3 years: 0-70 U/L
4-6 years: 0-60 U/L
7-9 years: 0-42 U/L
10-12 years: 0-38 U/L
13-15 years: 0-33 U/L
16-18 years: 0-31 U/L
19+ years: 10-39 U/L

 

LD
0-30 days: 145-765 U/L
31-365 days: 190-420 U/L
1-3 years: 165-395 U/L
4-6 years: 135-345 U/L
7-9 years: 140-280 U/L
10-12 years: 120-260 U/L
13-15 years: 100-275 U/L
16-18 years: 105-230 U/L
19+ years: 100-190 U/L

ALP
0-30 days: 75-316 U/L
31-365 days: 82-383 U/L
1-3 years: 104-345 U/L
4-6 years: 93-309 U/L
7-9 years: 86-315 U/L
10-12 years: 42-362 U/L
13-15 years: 74-390 U/L
16-18 years: 52-171 U/L
19+ years: 32-126 U/L

 

ALT
0-30 days: 8-25 U/L
31-365 days: 8-35 U/L
1-3 years: 8-30 U/L
4-6 years: 8-20 U/L
7-9 years: 8-25 U/L
10-17 years: 8-30 U/L
18+ years: 10-52 U/L

 

AST
0-30 days: 0-52 U/L
31-365 days: 0-66 U/L
1-3 years: 0-57 U/L
4-6 years: 0-49 U/L
7-9 years: 0-43 U/L
10-12 years: 0-39 U/L
13-15 years: 0-40 U/L
16-18 years: 0-40 U/L
19+ years: 10-39 U/L

 

LD
0-30 days: 125-735 U/L
31-365 days: 170-450 U/L
1-3 years: 155-345 U/L
4-6 years: 155-345 U/L
7-9 years: 145-300 U/L
10-12 years: 120-325 U/L
13-15 years: 120-290 U/L
16-18 years: 105-235 U/L
19+ years: 100-190 U/L

Cautions

LD and AST (and to a lesser extent ALP and ALT) may be significantly falsely elevated in the presence of hemolysis. Falsely low ALT results may occur in patients treated with sulfasalazine.
Samples with glycine, monoethanolamine, and high concentrations of phosphate and chloride may interfere with ALP measurements.

Method Description

ALP

Photometric rate with p-nitro-phenylphosphate (pNPP) in the presence of 2-amino-2-methyl-1-propanol (AMP) at pH 10.4.

 

ALT

Photometric rate with alanine to α-oxoglutarate to form pyruvate and glutamate. This assay does not contain pyridoxyl-5-phosphate.

 

AST

Photometric rate with aspartate and α-oxoglutarate to form pyruvate and glutamate. This assay does not contain pyridoxyl-5-phosphate.

 

LD

Photometric rate

Performing Lab

Clinical Lab UH
Clinical Lab University East
Clinical Lab James
Clinical Lab Martha Morehouse
Clinical Lab Spielman
Clinical Lab West Campus

Day(s) Performed

Monday through Sunday

Report Available

Same day/1 day

Reporting Name

ALP ALT AST LD

CPT Code Information

84075
83615
84450
84460

LOINC Code Information

6768-6
1742-6
1920-8
14804-9