Diabetes, Newly Diagnosed and Monitoring Panel

Test Code

91712

CPT Codes
82947, 83036, 80061, 80076, 82570, 82043, 82565

Includes

Glucose
Hemoglobin A1c
Lipid Panel: Total Cholesterol, HDL Cholesterol, Triglycerides, LDL-Cholesterol (calculated), Cholesterol/HDL Ratio (calculated), Non-HDL Cholesterol (calculated)
Hepatic Function Panel: Total Protein, Albumin, Globulin (calculated), Albumin/Globulin Ratio (calculated), Total Bilirubin, Direct Bilirubin, Indirect Bilirubin (calculated), Alkaline Phosphatase, AST, ALT
Microalbumin, Random Urine with Creatinine
Creatinine, Serum

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

Preferred Specimen

1 mL serum collected in a serum separator tube (SST) and
1 mL whole blood collected in an EDTA (lavender-top) tube and
10 mL random urine - no preservative

Patient Preparation
Patient should fast 9-12 hours prior to collection.
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 hrs and a third dose of 100 mg/kg administered over 16 hrs.

Minimum Volume

1 mL serum • 0.5 mL whole blood • 2 mL random urine

Instructions

See individual assays

Transport Temperature

Serum: Refrigerated (cold packs)
Whole blood and urine: Room temperature

Specimen Stability

Serum
Room temperature: 24 hours
Refrigerated: 72 hours
Frozen: Unacceptable

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

Random urine
Room temperature: 7 days
Refrigerated: 7 days
Frozen: 28 days

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

Serum: Gross hemolysis • Received frozen • Anticoagulants other than heparin • Moderate icterus • Unspun serum separator tube (SST) or non-plasma separator green-top tube
Whole blood: Sodium fluoride/oxalate (gray-top) tube
Random urine: Acid preserved urine

Methodology
See individual tests

Setup Schedule

See individual assays

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.