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