High Density Lipoprotein

Last Modified: 3/27/2019 3:04:22 PM


  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:  
Client Notes: Venipuncture should occur prior to Metamizole administration due to the potential for falsely depressed results
Patient Preparation:
12 hours Fasting
Specimen Requirements: 1.0 mL Plasma from a PST Mint Green Top Tube - Lithium Heparin
or
1.0 mL Serum in a SST Gold Top Tube
Collection Instructions:  
Minimum Volume: 0.2 mL
Transport & Storage: Temperature/Stability: 7 days Refrigerated

96 hours on cells
Reference Range:

Male: 40 - 70 mg/dL
Female: 40 - 85 mg/dL

Critical Ranges:  
Test Comments:  
Methodology: Enzymatic
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Hospital Randallia, Parkview Huntington, Parkview LaGrange, Parkview Noble, Parkview Regional Medical Center, Parkview Wabash, Parkview Warsaw , Parkview Whitley
PHL Test Code: HDL
EPIC Test Code: LAB101
Alternate Test Names: HDL
Included Tests:  
CPT Coding: 83718

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