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Lipid Panel, Cardio IQ®
Test Code91716
CPT Codes
82465, 83718, 84478
Includes
Cholesterol, Total; HDL Cholesterol; Triglycerides; Non-HDL and Calculated Components (LDL-Cholesterol, Chol/HDLC Ratio, non-HDL Cholesterol)
Preferred Specimen
1 mL serum
Patient Preparation
Fasting is not required prior to collection of a lipid panel. 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 regime 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.
Minimum Volume
0.5 mL
Transport Temperature
Refrigerated (cold packs)
Specimen Stability
Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 28 days
Refrigerated: 7 days
Frozen: 28 days
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis • Moderately to grossly icteric • Anticoagulants other than heparin
Methodology
Spectrophotometry (SP)
Setup Schedule
Set up: Daily; Report available: Next day
Reference Range
See Laboratory Report
Clinical Significance
This is the most common Lipid Panel. Components include those useful in the detection, classification, and monitoring of patients with hyperlipidemia.