Alkaline Phosphatase Isoenzyme
Order Code: ALPI
Epic Lab Code: LAB2552
Order Form: A-1a Miscellaneous Request or Epic Req
Commercial Mail-out Laboratory
01250 PFP
356-3527
Specimen(s):
Serum
Collection Medium:
Red top tube 5 mL (Clot Activator)
Minimum:
1 mL of serum divided into TWO tubes each containing 0.5 mL
Specimen Instructions:
Patient's age and sex are required.
Testing Schedule:
Alkaline Phosphatase: Monday through Sunday; Continuously
Alkaline Phosphatase Isoenzymes: Monday through Friday
Turn Around Time:
2 days upon receipt at reference laboratory
Reference Range:
ALKALINE PHOSPHATASE Males Females 4 years: 149-369 U/L 4 years: 169-372 U/L 5 years: 179-416 U/L 5 years: 162-355 U/L 6 years: 179-417 U/L 6 years: 169-370 U/L 7 years: 172-405 U/L 7 years: 183-402 U/L 8 years: 169-401 U/L 8 years: 199-440 U/L 9 years: 175-411 U/L 9 years: 212-468 U/L 10 years: 191-435 U/L 10 years: 215-476 U/L 11 years: 185-507 U/L 11 years: 178-526 U/L 12 years: 185-562 U/L 12 years: 133-485 U/L 13 years: 182-587 U/L 13 years: 120-449 U/L 14 years: 166-571 U/L 14 years: 153-362 U/L 15 years: 138-511 U/L 15 years: 75-274 U/L 16 years: 102-417 U/L 16 years: 61-264 U/L 17 years: 69-311 U/L 17-23 years: 52-144 U/L 18 years: 52-222 U/L 24-45 years: 37-98 U/L > or =19 years: 45-115 U/L 46-50 years: 39-100 U/L 51-55 years: 41-108 U/L 56-60 years: 46-118 U/L 61-65 years: 50-130 U/L > or =66 years: 55-142 U/L Reference values have not been established for patients that are <4 years of age. ALKALINE PHOSPHATASE ISOENZYMES Liver 1% Liver 1 0-6 years: 5.1-49.0% 0-6 years: 7.0-112.7 IU/L 7-9 years: 3.0-45.0% 7-9 years: 7.4-109.1 IU/L 10-13 years: 2.9-46.3% 10-13 years: 7.8-87.6 IU/L 14-15 years: 7.8-48.9% 14-15 years: 10.3-75.6 IU/L 16-18 years: 14.9-50.5% 16-18 years: 13.7-78.5 IU/L > or =19 years: 27.8-76.3% > or =19 years: 16.2-70.2 IU/L Liver 2% Liver 2 0-6 years: 2.9-13.7% 0-6 years: 3.0-41.5 IU/L 7-9 years: 3.7-12.5% 7-9 years: 4.0-35.6 IU/L 10-13 years: 2.9-22.3% 10-13 years: 3.3-37.8 IU/L 14-15 years: 2.2-19.8% 14-15 years: 2.2-32.1 IU/L 16-18 years: 1.9-12.5% 16-18 years: 1.4-19.7 IU/L > or =19 years: 0.0-8.0% > or =19 years: 0.0-5.8 IU/L Bone % Bone 0-6 years: 41.5-82.7% 0-6 years: 43.5-208.1 IU/L 7-9 years: 39.9-85.8% 7-9 years: 41.0-258.3 IU/L 10-13 years: 31.8-91.1% 10-13 years: 39.4-346.1 IU/L 14-15 years: 30.6-85.4% 14-15 years: 36.4-320.5 IU/L 16-18 years: 38.9-72.6% 16-18 years: 32.7-214.6 IU/L > or =19 years: 19.1-67.7% > or =19 years: 12.1-42.7 IU/L Intestine % Intestine 0-6 years: 0.0-18.4% 0-6 years: 0.0-37.7 IU/L 7-9 years: 0.0-18.3% 7-9 years: 0.0-45.6 IU/L 10-13 years: 0.0-11.8% 10-13 years: 0.0-40.0 IU/L 14-15 years: 0.0-8.2% 14-15 years: 0.0-26.4 IU/L 16-18 years: 0.0-8.7% 16-18 years: 0.0-12.7 IU/L > or =19 years: 0.0-20.6% > or =19 years: 0.0-11.0 IU/L Placental Not present
Comments:
Useful for: Diagnosis and treatment of liver, bone, intestinal, and parathyroid diseases Determining the tissue source of increased alkaline phosphatase (ALP) activity in serum Differentiating between liver and bone sources of elevated ALP
Test Limitations:
Bone Specific Alkaline Phosphatase and 5'nucleotidase may be useful in identifying disorders of bone and liver, respectively.
Methodology:
Total Alkaline Phosphatase (ALP)
ALP Isoenzymes
CPT Code:
84075, 84080