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The CPT® Code 82965 refers to a laboratory test specifically designed to measure the level of glutamate dehydrogenase (GLDH) in the blood. GLDH is an important mitochondrial enzyme that plays a crucial role in the metabolism of carbon and nitrogen, particularly in the urea cycle. This test is often utilized as a differential diagnostic tool, especially when other liver function tests yield abnormal results. Elevated levels of GLDH can indicate hepatocytic necrosis, which may occur due to toxic substances or hypoxic conditions affecting the liver. It is important to note that GLDH levels do not rise in cases of inflammatory hepatitis, making this test particularly useful in distinguishing between different types of liver damage. The procedure involves obtaining a blood sample through venipuncture, which is a separately reportable service. The serum obtained from the blood sample is then analyzed using spectrophotometry, a method that measures the intensity of light absorbed by the serum, allowing for accurate quantification of GLDH levels.
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The glutamate dehydrogenase (GLDH) test is indicated for the following conditions:
The procedure for measuring glutamate dehydrogenase (GLDH) levels involves several key steps:
After the GLDH test is completed, the patient may experience minimal discomfort at the venipuncture site, which typically resolves quickly. There are no specific post-procedure care instructions required for this test, and patients can generally resume normal activities immediately. The results of the GLDH test are usually available within a few hours to a few days, depending on the laboratory's processing time. Healthcare providers will interpret the results in conjunction with other liver function tests and clinical findings to determine the appropriate course of action.
| Short Descr | ASSAY OF GDH ENZYME | Medium Descr | ASSAY OF GLUTAMATE DEHYDROGENASE | Long Descr | Glutamate dehydrogenase | Status Code | Statutory Exclusion (from MPFS, may be paid under other methodologies) | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | CLIA Waived (QW) | No | APC Status Indicator | Conditionally packaged laboratory tests | Type of Service (TOS) | 5 - Diagnostic Laboratory | Berenson-Eggers TOS (BETOS) | T1H - Lab tests - other (non-Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 233 - Laboratory - Chemistry and Hematology |
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| 2013-01-01 | Changed | Medium Descriptor changed. |
| Pre-1990 | Added | Code added. |
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