Diet Program

Test Code

DIET

CPT Codes
80053; 80061; 84443; 85025

Includes

Complete Metabolic Profile, Lipid Panel, Thyroid Stimulating Hormone, Complete Blood Count

Preferred Specimen

1 Serum (gold top) Tube and 1 EDTA Whole Blood (purple top) Tube

Minimum Volume

Serum (gold top): 1 mL; EDTA Whole Blood (purple top): 2 mL

Other Acceptable Specimens

Lithium Heparin Plasma (green top) Tube and 1 EDTA Whole Blood (purple top) tube

Transport Container

1 Serum (gold top) tube or Lithium Heparin Plasma (green top) tube and 1 EDTA Whole Blood (purple top) Tube

Transport Temperature

Room Temperature or Refrigeration

Specimen Stability

Room Temperature - 4 hours; Refrigeration - 24 hours

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Hemolysis, Quantity Not Sufficient, IV Contamination, clotted EDTA (purple top) tube

Methodology
Colorimetric (CMP and Lipid Profile), Potentiometric (CMP), Chemiluminescence (TSH), Electronic Resistance Detection with Enhanced Hydrodynamic Focusing (CBC)

Setup Schedule

Daily upon receipt

Report Available

Upon completion of analysis

Reference Range

See individual tests or patient report for reference ranges.

Clinical Significance

This panel includes a CMP, Lipid Panel, CBC and TSH, and can be used to monitor diet therapy programs.

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.