Advanced Lipid Panel
What it measures
- TriglyceridesLOINC 2571-8
- Cholesterol, TotalLOINC 2093-3
- HDL CholesterolLOINC 2085-9
- LDL-CholesterolLOINC 13457-7
- Chol/HDLC RatioLOINC 9830-1
- Non HDL CholesterolLOINC 43396-1
- Lipoprotein (a)LOINC 43583-4
- Apolipoprotein BLOINC 1884-6
- LDL Particle NumberLOINC 54434-6
- LDL Peak SizeLOINC 17782-4
- LDL PatternLOINC 47213-4
- HDL LargeLOINC 43729-3
- LDL SmallLOINC 43727-7
- LDL MediumLOINC 86222-7
Before the visit
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 required. 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 and 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 hour, a second dose of 50 mg/kg administered over 4 hours and a third dose of 100 mg/kg administered over 16 hours.
Specimen
- Specimen
- 4 mL serum
- Minimum volume
- 2 mL
- Container
- Transport tube
- Temperature
- Refrigerated (cold packs)
Billing
CPT 80061, 83704, 82172, 83695