Last Modified: 2/2/2022 10:23:12 AM

  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:
When monitoring patient cholesterol 12 hours Fasting is required.
For screenings 12 hours Fasting is not required.
Specimen Requirements: 1.0 mL Plasma from a PST Mint Green Top Tube - Lithium Heparin (preferred)
1.0 mL Serum in a SST Gold Top Tube
Collection Instructions:  
Minimum Volume: 0.2 mL
Transport & Storage: Temperature/Stability: 1 week Refrigerated

48 hour unspun
Reference Range: <200 mg/dL
Critical Ranges:  
Test Comments:  
Methodology: Enzymatic
Clinical Significance:  
Custom Panel: No


Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Dekalb, Parkview Hospital Randallia, Parkview Huntington, Parkview LaGrange, Parkview Noble, Parkview Regional Medical Center, Parkview Wabash, Parkview Warsaw , Parkview Whitley
PHL Test Code: CHOL
EPIC Test Code: LAB60
Alternate Test Names: Chol; Cholesterol, Total
Included Tests:  
CPT Coding: 82465

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