Nonalcoholic steatohepatitis (NASH) FibroSURE
2008868
 
Ordering Recommendation
Mnemonic
NASH FS
Methodology
Semi-Quantitative Immunologic/Colorimetry/Kinetic/Nephelometry
Performed
Varies
Reported
10-13 days
New York DOH Approval Status
This test is New York DOH approved.
Specimen Required
Patient Preparation
Patient should fast for at least eight hours.  
Collect
Plain red or serum separator tube (SST).  
Specimen Preparation
Separate serum from cells within one hour of collection. Transfer 3 mL serum to an ARUP standard Transport Tube. (Min: 3 mL)  
Storage/Transport Temperature
CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.  
Unacceptable Conditions
Grossly hemolyzed or lipemic specimens. Nonfasting specimen  
Remarks
Patient age, gender, height and weight must be included on the request form.  
Stability
Ambient: Unacceptable; Refrigerated: 72 hours ; Frozen: Indefinitely  
Reference Interval
By report
Interpretive Data
Note
Test Includes: Quantitation of 10 biochemicals - alanine aminotransferase (ALT); apolipoprotein A1; aspartate aminotransferase (AST); bilirubin, total; cholesterol, total; transpeptidase (GGT); glucose; haptoglobin; triglycerides.

Limitations: NASH FibroSURE is recommended for patients with suspected non-alcoholic fatty liver disease (NAFLD). It is not recommended for patient with other liver diseases. It is also not recommended in patients with Gilbert disease, acute hemolysis, acute viral hepatitis, drug induced hepatitis, genetic liver disease, autoimmune hepatitis and/or extra-hepatic cholestasis. Any of these clinical situations may lead to inaccurate quantitative predictions of fibrosis.
CPT Code(s)
(82172; 82247; 82465; 82947; 82977; 83010; 83883; 84450; 84460; 84478 ) or 0003M*
*The 2014 AMA CPT manual contains the component CPT Codes and the new Administrative MAAA codes. Please direct any questions regarding CPT coding to the payer being billed
Components
Component Test Code*Component Chart Name
2008869NASH - Fibrosis Score
2008870NASH - Fibrosis Stage
2008871NASH - Steatosis Score
2008872NASH - Steatosis Grade
2008873NASH Score
2008874NASH Grade
2008875NASH - Height
2008876NASH - Weight
2008877NASH - Alpha 2-Macroglobulins, Quant
2008878NASH - Haptoglobin
2008879NASH - Apolipoprotein A-1
2008880NASH - Bilirubin, Total
2008881NASH-Gamma-glutamyl transpeptidase (GGT)
2008882NASH-alanine aminotransferase (GPT) P5P
2008883NASH-aspartate aminotransferase(GPT) P5P
2008884NASH - Cholesterol, Total
2008885NASH - Glucose, Serum
2008886NASH - Triglycerides
2008887NASH - Interpretations
2008888NASH - Fibrosis Scoring
2008889NASH - Steatosis Grading
2008890NASH Scoring
2008891NASH - Limitations
2008892NASH - Comment
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, contact interface support at interface.support@aruplab.com.
Cross References
  • Fatty Liver Disease
  • NAFLD
  • Nonalcoholic Fatty Liver Disease
  • Noninvasive Liver Biopsy
  • Steatohepatitis
Performed at LabCorp