Miscellaneous Triglyceride

Test Code
MISTGL


CPT Codes
84478

Preferred Specimen

Body fluid specimen, including but not limited to: Cerebrospinal Fluid, pleural fluid, pericardial fluid, peritoneal fluid, or synovial fluid. Note fluid type in order comments or on patient specimen label.



Minimum Volume
1 mL


Instructions

Collect body fluid in a body fluid collection bag or other sterile container and transport to lab. Refrigerate if transport will be delayed. Note fluid type in order comments or on patient specimen label.

This test is for Triglyceride measurement on Body Fluids.  For Triglyceride measurement on Plasma or Serum, order TRIG.



Transport Container

Body fluid collection bag or sterile container



Transport Temperature
Room Temperature or Refrigeration


Specimen Stability
Room Temperature - 4 hours; Refrigerated - 24 hours


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross viscosity or turbidity


Methodology
Colorimetric

Setup Schedule

Daily upon receipt



Report Available
Upon completion of analysis


Limitations
Gross viscosity or turbidity may interfere with testing.


Clinical Significance

This test can be useful in distinguishing between chylous and nonchylous effusions, determining if bleeding has occurred in a body fluid, and identifying iatrogenic effusions.

The presence of a chylous effusion, which results from lymphatic drainage into a body cavity, can be determined by identifying triglycerides and chylomicrons in the fluid.

Catheter-related iatrogenic effusions can be identified by determining the presence of intravenous solution constituents in the fluid.

Triglyceride concentration > 110 mg/dL is highly suggestive of a chylous effusion.





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.