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Cardio IQ® Diabetes Risk Panel with Score

Test Code
92026


CPT Codes
80061, 82947, 83036

Includes

Cardio IQ® Glucose
Cardio IQ® Hemoglobin A1c
Cardio IQ® Cholesterol, Total
Cardio IQ® HDL Cholesterol
Cardio IQ® Triglycerides
Cardio IQ® Non-HDL and Calculated Components
Cardio IQ® 8 Year Diabetes Risk

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

If Triglyceride is extremely elevated, >1293 mg/dL, this causes interference in the Cardio IQ® Direct LDL assay, therefore this test cannot be added.



Preferred Specimen
4 mL serum collected in a serum separator tube (SST), and
1 mL whole blood collected in an EDTA (lavender-top) tube


Patient Preparation
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, 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.

Minimum Volume
2 mL whole blood • 0.5 mL serum


Instructions
Serum and whole blood are required for this test.

For risk calculations to be performed, the following patient-specific information must be provided at the time of order:
Age: Years
Gender: M (for male) or F (for female)


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Serum
Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 28 days

Whole blood
Room temperature: 7 days
Refrigerated: 7 days
Frozen: 6 months


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Red-top tube (no gel) • Gross hemolysis • Moderate to grossly icteric • Sodium fluoride/oxalate (gray-top) tube • Heparinized plasma


Methodology
Enzymatic • Spectrophotometry (SP)

Setup Schedule
Set up: Tues-Sat; Report available: 4-7 days


Reference Range
See Laboratory Report


Clinical Significance
Permit the assessment of serum glucose levels and lipid levels and the prediction of the 8-year future risk of developing diabetes mellitus in patients without diabetes mellitus.




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.