Lipid Profile

Last Modified: 4/12/2019 10:24:16 AM

  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:
12 hours Fasting
Specimen Requirements: 2.0 mL Plasma in a PST Mint Green Top Tube - Li Heparin (preferred)
2.0 mL Serum in a SST Gold Top Tube 
Collection Instructions:  
Minimum Volume: 0.4
Transport & Storage: Temperature/Stability: 7 days Refrigerated

48 hours on cells
Reference Range: Refer to Interpretive Results
Critical Ranges:  
Test Comments: A LDL Direct will be ordered and performed when the Triglyceride is > 400
Methodology: Enzymatic
Clinical Significance:  
Custom Panel: No


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: LIPID
EPIC Test Code: LAB18
Alternate Test Names: Fasting Lipid Profile (FLP); FLP
Included Tests: Cholesterol; Cholesterol HDL; Cholesterol LDL (Calculated); Chol/HDL Ratio (Calculated); Triglycerides
CPT Coding: 80061 (Reflex 83721)

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