TRIGLYCERIDE

Test Code

LAB134

CPT Codes
84478

Preferred Specimen

One 4.5 mL light green top tube
Pediatric: One light green top microtainer

Other Acceptable Specimens

Dark green top tube
Red top tube
Gold top tube

Instructions

Fasting preferred. Patient should fast for twelve hours prior to sample collection.
Sample must be centrifuged within two hours of collection. Serum/plasma must be removed from the red cells and put into aliquot tubes following centrifugation.

Transport Temperature

Refrigerated

Specimen Stability

Centrifuge within 2 hours of collection
Ambient: 2 days
Refrigerated: 7 days
Frozen: 1 year

Methodology
Enzymatic Endpoint

Setup Schedule

Sunday-Saturday

Reference Range

	2Y-9Y	10Y-17Y	>=18Y
Optimal	<75 mg/dL	<90 mg/dL	<150 mg/dL
Borderline High	75-99 mg/dL	90-129 mg/dL	150-199 mg/dL
High	>=100 mg/dL	>=130 mg/dL	200-499 mg/dL
Very High	NA	NA	>=500 mg/dL

Performing Laboratory
West Virginia University Hospital, Inc.
Berkeley Medical Center
Barnesville Hospital
Braxton County Memorial
Camden Clark Medical Center
Fairmont Medical Center
Harrison Community Hospital Jackson General Hospital
Jefferson Medical Center
Princeton Community Hospital
Potomac Valley Hospital
Reynolds Memorial Hospital
Summersville Regional Medical Center
St. Joseph’s Hospital
United Hosiptal Center
Uniontown Hospital
Wetzel County Hospital
Wheeling Hospital

The CPT Codes provided in this document 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 payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.