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91247: Lipid Panel, Non-fasting w/o Triglycerides Print View
Cholesterol, Total S  < 20 years: < 170
>= 20 years: < 200 
mg/dL 
HDL Cholesterol S  Both < 20 years: > 45
Male >= 20 years: > 40
Female >= 20 years: > 50 
mg/dL 
Non-HDL Cholesterol CALC  < 20 years: < 120
>= 20 years: < 130 
mg/dl (calc) 
Cholesterol/HDL Ratio (calc) CALC  Male: < 5.0
Female: < 5.0 
 

PRIMARY
1 Serum 1 (0.5) mL   Frozen - 15 Day(s)/Room Temperature - 48 Hour(s)/Refrigerated - 7 Day(s)  
ALTERNATE
  Plasma Heparinized 1 (0.5) mL   Room Temperature - 48 Hour(s)/Refrigerated - 48 Hour(s)/Frozen - 15 Day(s)  

The assay manufacturer, Roche, notes that N-acetylcysteine, when
administered in high concentrations (such as for treatment of
acetaminophen overdose), can interfere with their assay for HDL
cholesterol, leading to falsely low results.

This lipid panel includes Total Cholesterol, HDL Cholesterol and
calculated non-HDL Cholesterol. It does not include triglycerides
and may be best used in patients for whom fasting is difficult

Patient preparation:

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 hr, a second dose of 50 mg/kg
administered over 4 hrs and a third dose of 100 mg/kg administered
over 16 hrs.
Setup Schedule
Monday-Friday

Reported (Analytical Time)
Next day

CPT Codes
82465,83718

The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Notes
Reject Criteria: Gross hemolysis; anticoagulants other than heparin; moderate to gross icterus

Transport Temperature: Room temperature






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