Last Modified:
8/10/2023 7:20:36 AM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Fasting preferred, but not required
Specimen Requirements:
1.0 mL Serum from a Red Top Tube in a Plastic Vial
Collection Instructions:
Minimum Volume:
0.25 mL Serum
Transport & Storage: Temperature/Stability:
24 hours Ambient
7 days Refrigerated
30 days Frozen
Rejection Criteria:
Gross hemolysis • Gross lipemia
Reference Range:
Refer to Interpretive Results
Critical Ranges:
Test Comments:
Methodology:
ION Mobility
Clinical Significance:
There is a correlation between increased risk of premature heart disease with decreasing size of LDL particles. Ion mobility offers the only direct measurement of lipoprotein particle size and concentration for each lipoprotein from HDL3 to large VLDL
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
4 to 5 days
Days Performed:
Monday, Tuesday, Wednesday, Thursday, Friday
Sites Performed:
Quest - Chantilly to Cleveland HeartLab Inc.
PHL Test Code:
CIQLF
EPIC Test Code:
LAB2974
Send Out Test Code:
91604
Alternate Test Names:
CARDIO IQ LIPROPROTEIN FR; Cardio IQ® Lipoprotein Fractionation, Ion Mobility
Included Tests:
LDL Particle Number; LDL Small; LDL Medium; HDL Large; LDL Pattern; LDL Peak Size
CPT Coding:
83704
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