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92527: Cardio IQ® Advanced Lipid Panel and Inflamamation Panel Print View
Cholesterol, Total   < 20 years: 125 - 170
>= 20 years: 125 - 200 
mg/dL 
HDL Cholesterol   view ref range  mg/dL 
Triglycerides   view ref range  mg/dL 
LDL Chol, Calculated   < 2 years: Call Client Services
< 21 years: < 110
>= 21 years: < 130 
mg/dL 
Cholesterol/HDL Ratio   < 5.1  calc 
Non-HDL Cholesterol   < 20 years: < 120
>= 20 years: Call Client Services 
mg/dL 
LDL Particle Number IM  1016 - 2185  nmol/L 
LDL Small IM  Male: 123 - 441
Female: 115 - 386 
nmol/L 
LDL Medium IM  Male: 167 - 465
Female: 121 - 397 
nmol/L 
HDL Large IM  Male: 4334 - 10815
Female: 5038 - 17886 
nmol/L 
LDL Pattern IM    Pattern 
LDL Peak Size IM  > 218.1  Angstrom 
Apolipoprotein B   view ref range  mg/dL 
Lipoprotein (a)   < 75  nmol/L 
hs-CRP     mg/L 
PLAC EIA  81 - 259  ng/mL 

PRIMARY
1 Serum 6 (3) mL   Refrigerated - 5 Day(s)  
ALTERNATE

The 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults recommend matching the intensity of statin treatment with the absolute risk of cardiovascular events. However, the standard lipid panel alone does not provide a complete assessment of absolute risk of CVD. Adding advanced cvd markers (ion mobility, apob, lp(a), hs crp and lppla2) in addition to the lipid panel will improve assessment of cvd risk.

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.

See individual assays

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)
3 days

CPT Codes
82465,83718,84478,83704,82172,83695,86141,83698

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; grossly lipemic; moderately and grossly icteric; samples stored and shipped room temperature

Transport Temp: Refrigerated

Methodology: Spectrophotometry; Enzymatic; Ion Mobility; Nephelometry; Immunoturbidimetric; Immunoassay

If Triglyceride is >400 mg/dL, then Cardio IQ(R) Direct LDL will be performed at an additional charge (CPT code(s): 83721).






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