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91920: Diabetes Risk Panel without Score Print View
Cholesterol, Total     mg/dL 
Triglycerides, Serum S    mg/dL 
HDL Cholesterol   view ref range  mg/dL 
LDL Chol, Calculated CALC    mg/dL 
Cholesterol/HDL Ratio CALC    calc 
Non-HDL Cholesterol CALC  < 120  mg/dL 
Hemoglobin A1c IMMUNOTURB    % of total Hgb 
Glucose S    mg/dL 

PRIMARY
1 Serum 1 (0.5) mL   Room Temperature - 48 Hour(s)/Frozen - 15 Day(s)/Refrigerated - 7 Day(s)  
2 Whole Blood EDTA 1 (0.5) mL   Room Temperature - 7 Day(s)/Frozen - 6 Month(s)/Refrigerated - 7 Day(s)  
ALTERNATE
  Whole Blood Heparin 1 (0.5) mL   Room Temperature - 7 Day(s)/Refrigerated - 7 Day(s)/Frozen - 6 Month(s)  

The purpose of this offering is to permit the assessment of risk factors associated with the metabolic syndrome, including cardiovascular risk and an identification of individuals at higher risk of developing diabetes mellitus.

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, 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.

Fasting required. Fasting is defined as no consumption of food or
beverage other than water for at least 9-12 hours prior to
collection.

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-Saturday

Reported (Analytical Time)
Next day

CPT Codes
82465,84478,83718,83036,82947

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
If the Triglyceride result is >400 mg/dL, Direct LDL will be performed at an additional charge (CPT code(s): 83721). Methodology: Cholesterol, Total (Enzymic-Spectrophotometric); HDL Cholesterol (Polymer/Polyanion Complexes) Reject Criteria: Gross hemolysis; anticoagulants other than heparin; moderate to gross icterus For Glucose: No additive red-top Transport Temperature: Room temperature






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