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94220: Advanced Lipid Panel With Inflammation, Cardio Iq(r) Print View
Cholesterol, Total     mg/dL 
HDL Cholesterol     mg/dL 
Triglycerides     mg/dL 
LDL Chol, Calculated     mg/dL 
Cholesterol/HDL Ratio     calc 
Non-HDL Cholesterol     mg/dL (calc) 
LDL Particle Number     nmol/L 
LDL Small     nmol/L 
LDL Medium IM    nmol/L 
HDL Large IM    nmol/L 
LDL Pattern IM    Pattern 
LDL Peak Size IM    Angstrom 
Apolipoprotein B     mg/dL 
Lipoprotein (a)     nmol/L 
hs-CRP     mg/L 
Lp-PLA2 Activity EZA    nmol/min/mL 

1 Serum 6 (3) mL   Frozen - 15 Day(s)/Refrigerated - 7 Day(s)  

The 2013 ACC/AHA Guideline on the Treatment of Blood Cholestrol 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 lipid panel will improve assessment of the cvd risk.

If a Cholesterol measurement is to be performed along with
Triglycerides, but not part of a Lipid Panel, then the patient
should be fasting 9-12 hours prior to collection. If the Cholesterol
is ordered as part of a Lipid Panel, then a fasting sample is not

The assay manufacturer Beckman Coulter advises: "N-Acetyl Cysteine
(NAC), when administered in therapeutic concentrations (for the
treatement of acetaminophen overdose), has been...determined to
interfere with assays for...Chlosterol, 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

Reported (Analytical Time)
3 days

CPT Codes

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.

Transport Temperature: Refrigerated
Reject Criteria: Gross hemolysis; moderate to grossly lipemic; moderate to and grossly icteric; samples stored and shipped room temperature
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 83721).

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