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Mayo Clinic Laboratories

Test Code GPT Alanine Aminotransferase (ALT/GPT)

Specimen and Container/Tube

Specimen Type: Plasma

Preferred Specimen: Li-Heparin Mint Green Top

Other Acceptable specimens: Serum/Red Top, Serum/Gold Top

Collection Instructions

Collect specimen per standard laboratory collection procedures. 

Specimen Handling and Transport Instructions

UCMC Onsite Instructions: 

Collect specimen per standard collection procedure and send to laboratory immediately. 

 

UCMC Offsite and UC MedLab Outreach Instructions: 

  • Samples should be centrifuged within 2 hours of collection.
  • Centrifuge specimens at >2500 x g for 10 minutes at room temperature.
  • Aliquot sample into plastic transport tube containing a minimum of 0.2 mL of specimen.
  • Samples must be sent room temperature at 15-25oC.

Reference Values

Test

Age

Sex

Reference Range

ALT (GPT)

All

All

    8-35 U/L

Note: Reference range based on in-house studies, recommendations from Tietz Textbook of Clinical Chemistry, and Roche product literature.  

 

Volume

Preferred Volume: 0.5 mL

Minimum Volume: 0.2 mL

Rejection Criteria

  • Common specimen rejected situations include: incorrect specimen type, insufficient volume, missing or incomplete specimen identifiers, incorrect specimen transport, or specimens outside stability limits. 
  • Specimens that are clotted or grossly hemolyzed.
  • Specimens that were transported unspun/whole blood and draw time is greater than 6 hours.

Critical Values

Not applicable 

CPT Codes

84460

Specimen Stability

Storage Temperature

Stability

Room temperature

3 days

Refrigerated

7 days

Frozen

7 days

Test Components

Alanine Aminotransferase

Clinical Indications

Diagnosis and monitoring of liver disease associated with hepatic necrosis

Methodology

Photometric Rate, L-Alanine with Pyridoxal-5-Phosphate

Additional Information

Results should always be assessed in conjunction with patient's medical history, clinical examination and other
findings.

  • Results should always be assessed in conjunction with patient's medical history, clinical examination and other findings.
  • When blood is drawn and permitted to clot and to stand uncentrifuged at room temperature, the average decrease in serum glucose is approximately 7% in one hour (0.28 to 0.56 mmol/L or 5 to 10 mg/dL). This decrease is the result of glycolysis. Glycolysis can be inhibited by collecting the specimen in fluoride tubes.
  • Patients can be fasting or non-fasting.
  • Also included in Hepatic Function Panel LFT, Pediatric Hepatic Function Panel PDLPNL, Comprehensive Metabolic Panel CMP, ER Panel II STLP, Pediatric ER Panel II PDSTLP,  CMP for chronic lymphocytic leukemia (CPNL FOR CLL PATIENTS ONLY) SSTCP.

Turnaround Time

Turnaround times are relative to the time the specimen is received in the test laboratory. 

 

STAT Turnaround Time: 1 hour

Routine Turnaround Time: 4 hours

Testing Schedule: 24/7

Last Review Date

06/12/2024

LOINC Code

1743-4