LDL, Direct Measure

Last Modified: 4/12/2019 10:14:15 AM


  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 1.0 mL Plasma in a PST Mint Green Top Tube - Li Heparin
Collection Instructions:  
Minimum Volume: 0.2 mL
Transport & Storage: Temperature/Stability: 3 days Refrigerated

3 hours on cells
Reference Range: Desirable: <130 mg/dL
Borderline Risk: 130 - 159 mg/dL
High Risk: >160 mg/dL
Critical Ranges:  
Test Comments:  
Methodology: Enzymatic
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Regional Medical Center
PHL Test Code: LDL
EPIC Test Code: LAB102
Alternate Test Names: Direct LDL; LDL-C
Included Tests:  
CPT Coding: 83721

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