Test Code LPPR1 LIPID PANEL

Important Note

Fasting is no longer required for this panel. Because the panel automatically reflexes to a direct LDL when triglycerides are greater than 400, the lipid profile (or its components) do not require fasting in most cases.

Additional Codes

Software	Test Code
Label Text	LPPR1
EPIC	LAB18

Performing Laboratory

NorDx Laboratories

Useful For

The evaluation of cardiovascular risk

LDL Direct will automatically be performed at an additional charge when triglycerides are greater than 400.

Method Name

Spectrophotometry (SP)

Reference Values

See individual analytes

Days and Times Test Performed

Monday through Sunday

Report Available

1 Day

Available Stat

Profile Information

Individual Test Description
CHOLESTEROL / HDL RATIO
CHOLESTEROL, HIGH-DENSITY LIPOPROTEIN (HDL), SERUM
CHOLESTEROL, TOTAL, SERUM
LDL CHOLESTEROL, CALCULATION
NON HDL CALCULATION
TRIGLYCERIDES, SERUM

Specimen Type

Submit one of the following:

~ Plasma

~ Serum

Preferred Container

Plasma Separator Tube (PST)

Serum Separator Tube (SST)

Preferred Volume

Plasma: 1 mL (Plasma Separator Tube (PST))

Serum: 1 mL (Serum Separator Tube (SST))

Minimum Volume

Plasma: 0.5 mL (Plasma Separator Tube (PST))

Serum: 0.5 mL (Serum Separator Tube (SST))

Specimen Collection and Handling

1. Spin specimen, separate from clot within 4 hours of draw and send refrigerated.

2. Patient must not consume any alcohol for 24 hours before specimen is collected.

Specimen Stability Information

Specimen Type: Plasma

Refrigerated: 7 Days

Must be spun/separated within: 2 Hours

Specimen Type: Serum

Refrigerated: 7 Days

Must be spun/separated within: 2 Hours

Add On Capable

Yes

Advance Beneficiary Notice Requirements

This test, when ordered on Medicare patients, is subject to the National Coverage Determination (NCD) policies. Please verify that the diagnosis code (ICD code) you have chosen demonstrates medical necessity for the test as documented in the physician’s patient record. The CMS web site is available to assist you with this verification. A properly executed Advance Beneficiary Notice (ABN) must be submitted with the specimen if medical necessity is not demonstrated by the ICD code chosen.

CPT Code Information

CPT Code	CPT Description	CPT Disclaimer
80061	Lipid Panel
83721	Lipoprotein, Direct Measurement, Low Density Cholesterol (LDL Cholesterol)	if Indicated

Keywords

CHOLESTEROL, HDL (HIGH-DENSITY LIPOPROTEIN)

CHOLESTEROL, LDL (LOW-DENSITY LIPOPROTEIN)

HDL (HIGH-DENSITY LIPOPROTEIN) CHOLESTEROL

HIGH-DENSITY CHOLESTEROL (HDC)

LDL (LOW-DENSITY LIPOPROTEIN) CHOLESTEROL

TRIGLYCERIDES

Performing Laboratory Location