Lipid Profile

Last Modified: 8/30/2023 12:31:01 PM


  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)
or
2.0 mL Serum in a SST Gold Top Tube 
Collection Instructions:  
Minimum Volume: 0.4 mL Serum
Transport & Storage: Temperature/Stability: 7 days Refrigerated

48 hours on cells
Reference Range: Refer to Interpretive Results
Critical Ranges:  
Test Comments: An LDL Direct will be ordered and performed when the LDL, calculated value is < 0
Methodology: Enzymatic
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Dekalb Hospital, Parkview Huntington Hospital, Parkview LaGrange Hospital, Parkview Noble Hospital, Parkview Randallia Hospital, Parkview Regional Medical Center, Parkview Southwest , Parkview Wabash Hospital, Parkview Warsaw , Parkview Whitley Hospital
PHL Test Code: LIPID
EPIC Test Code: LAB18
Alternate Test Names: Fasting Lipid Profile (FLP); FLP; Lipid Panel; Lipid Profile
Included Tests: Cholesterol; Cholesterol HDL; Cholesterol LDL (Calculated); Chol/HDL Ratio (Calculated); Triglycerides
CPT Coding: 80061 (Reflex 83721)

Go back to the top of the page.