Diabetes Risk Panel with Score

Test Code

92027

CPT Codes
82947, 83036, 80061

Includes

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

If Triglyceride is >400 mg/dL, Direct LDL will be performed at an additional charge (CPT code(s): 83721).

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 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.

Minimum Volume

2 mL serum • 0.5 mL whole blood

Instructions

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?)

See individual tests • Sodium fluoride/oxalate (grey-top) tube • Heparinized plasma

Methodology
Turbidimetric Inhibition Immunoassay • Spectrophotometry (SP)

Setup Schedule

Set up: Mon-Fri; Report available: 4-7 days

Reference Range

See individual tests

Clinical Significance

To assist with control of blood glucose levels, the American Diabetes Association (ADA) has recommended glycated hemoglobin testing (HbA1c) twice a year for patients with stable glycemia, and quarterly for patients with poor glucose control. Interpretative ranges are based on ADA guidelines.

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.