Test Code TRIG Triglycerides, Plasma or Serum
Methodology
Glycerol Phosphate Oxidase
Performing Laboratory
Munson Healthcare Laboratories
Specimen Requirements
Submit only 1 of the following specimens:
Plasma
Container/Tube: Green-top (heparin) gel tube
Specimen Volume: 0.5 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: 0.5 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
0-29 years: 10-140 mg/dL
30-39 years: 10-150 mg/dL
40-49 years: 10-160 mg/dL
50-125 years: 10-190 mg/dL
Critical value (automatic call-back):
for patients <30days old: >/= 250 mg/dL
Day(s) Test Set Up
Monday through Sunday
Test Classification and CPT Coding
84478