Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
If a cholesterol measurement is to be performed along with triglycerides, the patient should be fasting 9-12 hours prior to collection.
The assay manufacturer Beckman Coulter advises: "N-Acetyl Cysteine (NAC), when administered in therapeutic concentrations (for the treatment of acetaminophen overdose), has been determined to interfere with assays for cholesterol, uric acid" where "NAC interference may lead to falsely low results." According to Beckman Coulter, the NAC interference should be insignificant by 12 hours after completion of the initial loading dose of an IV infusion treatment regimen consisting of an initial loading dose of 150 mg/kg administered over 1 hour, a second dose of 50 mg/kg administered over 4 hours and a third dose of 100 mg/kg administered over 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
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 Gel Electrophoresis
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
7 to 10 days
Days Performed:
Sunday, Wednesday
Sites Performed:
Quest - Valencia 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