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Test Code LAB4098 LIPID PANEL REFLEX DIRECT LDL

Additional Codes

Internal: 12671

External: LIPIDRFLX

Beaker: LAB4098

PERFORMED AT

SBH LABORATORY
SRH LABORATORY
SMH LABORATORY
SPH LABORATORY
HDH LABORATORY

Specimen Requirements

Container Type: Lithium Heparin (Green Top) or Serum Separator (Gold Top)
Specimen Type: Plasma or Serum
Preferred Volume: 1 mL
Emergency Minimum Volume: 0.3 mL
Patient Prep: Patient should be fasting 10-12 hours prior to collection.
Specimen Processing: Separate serum or plasma from cells as soon as possible by centrifugation. Store and transport refrigerated.

Alternate Specimens: Plain Serum Tube (Red Top)


Stability:

Temperature Time
Room Temp Unacceptable
Refrigerated 7 days
Frozen (-20 øC) 3 months

Method

Enzymatic colorimetric

Synonyms

Coronary Risk Profile; Lipid Screen; LDL (Calculated); HDL/Lipid Profile, Lipid w LDL reflex

Department

Chemistry

Test Schedule

Daily

Test Includes

Cholesterol, mg/dL; Triglyceride, mg/dL; HDL, mg/dL; LDL (Calculated) mg/dL; LDL/HDL ratio; Chol/HDL ratio; LDL Cholesterol, Direct, mg/dL (Reflex)

CPT Code(s) / Price quote code(s) / Information

  • CPT: 80061
    • CPT 83721 if appropriate 

Price quote code: 3010080061, if appropriate 3010083721

Medicare policy:

  1. National Coverage Determination (NCD) // Lipid Testing (190.23)
  2. Cardiovascular Disease Screen Test MLN006559 – Medicare Preventive Services
  3. CPT  83721 Article - Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment (A57037)

Additional Test Information

Direct LDL reflexes when the Trig (equal to or greater than) ≥ 400 mg/dL

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