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Test Code LDLD Cholesterol, LDL, Plasma or Serum

Methodology

Liquid Selective Detergent

Performing Laboratory

Munson Medical Center Laboratories

Specimen Requirements

Submit only 1 of the following specimens:

 

Plasma

Container/Tube: Green-top (heparin) gel tube

Specimen Volume: 1 mL of heparinized plasma
Transport Temperature: Refrigerate
Collection Instructions: Fasting (12-14 hour) is preferred but not required. Forward promptly.

Note: 1. Medicare frequency limitations exist for this test in addition to diagnosis requirements.Click on link for list of medically necessary diagnoses: http://www.munsonhealthcare.org/medical-necessity.  See Advance Beneficiary Notice of Noncoverage (ABN) form in Special Instructions.

2. Indicate plasma.

3. Label specimen appropriately (plasma).


Serum
Container/Tube: Gold-top serum gel tube

Specimen Volume: 1 mL of serum
Transport Temperature: Refrigerate
Collection Instructions: Fasting (12-14 hour) is preferred but not required. Forward promptly.

Note: 1. Medicare frequency limitations exist for this test in addition to diagnosis requirements. Click on link for list of medically necessary diagnoses: http://www.munsonhealthcare.org/medical-necessity. See Advance Beneficiary Notice of Noncoverage (ABN) form in Special Instructions.

2. Indicate serum.

3. Label specimen appropriately (serum).

Reference Values

The National Cholesterol Education Program (NCEP) has set the following guidelines (reference values) for LDLC:

Optimal: <100 mg/dL

Low risk: 100-129 mg/dL

Borderline high: 130-159 mg/dL

High: 160-189 mg/dL

Very high: ≥190 mg/dL

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

83721