Last Modified:
8/30/2023 12:31:18 PM
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:
DALIP
EPIC Test Code:
LAB3271
Alternate Test Names:
Lipid Profile Direct Access
Included Tests:
Cholesterol; Cholesterol HDL; Cholesterol LDL (Calculated); Chol/HDL Ratio (Calculated); Triglycerides
CPT Coding:
80061 (Reflex 83721)
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