Lipoprotein Electrophoresis

Last Modified: 9/19/2019 1:59:40 PM

  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:  
Client Notes:  
Patient Preparation: For optimum results, the patient conditions at the time of sample collection should be:
a. Following a stable diet for at least a week.
b. Stable body weight.
c. Fasting for at least 12 hours (12 to 16 hours).
Specimen Requirements: 2.0 mL Serum from a Red Top Tube in a Plastic Vial
Collection Instructions: Centrifuge and separate from cells within 1 hour of collection
Minimum Volume: 1.0 mL Serum
Transport & Storage: Temperature/Stability: 7 days Refrigerated
14 days Frozen
Rejection Criteria: Hemolysis; Ambient
Reference Range: Refer to Interpretive Results
Critical Ranges:  
Test Comments:  
Methodology: Agarose Electrophoresis (AE)
Clinical Significance:  
Custom Panel: No


Turn Around Time: 7 to 10 days
Days Performed: Sunday, Wednesday
Sites Performed: Quest - Chantilly to San Juan Capistrano
Other Testing Facility: Quest San Juan Capistrano
PHL Test Code: LIPE
EPIC Test Code: LAB100
Send Out Test Code: 35436
Alternate Test Names: LPE
Included Tests: Cholesterol; Electrophoresis; Interpretation; Triglyercide
CPT Coding: 82465, 83700, 84478

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