Components
| QLS# | NAME | METHOD | REFERENCE RANGE | UNITS |
|
132
|
Triglycerides | S | < 5 years: Call Client Services < 20 years: < 130 >= 20 years: < 150 |
mg/dL |
|
109
|
Cholesterol, Total | S | < 2 years: Call Client Services < 19 years: < 170 >= 19 years: < 200 |
mg/dL |
| 108 | HDL-C | S | > 40 | mg/dL |
| LDL-C (Calc) | CALC | < 100 | mg/dL | |
| Cholesterol/HDL-C Ratio | CALC | Male: < 5.00 Female: < 4.50 |
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| PRIMARY | ||||
| 1 | Serum | 1 (0.5) mL | Frozen - 2 Month(s)/Refrigerated - 72 Hour(s)/Ambient - 24 Hour(s) | Refrigerated specimen preferred. See COLLECTION INSTRUCTIONS./// |
| ALTERNATE | ||||
| Plasma Heparinized | 1 (0.5) mL | Frozen - 2 Month(s)/Ambient - 24 Hour(s)/Refrigerated - 72 Hour(s) | ||
| Patient should be fasting 10-16 hrs prior to collection of specimen. State patient's age and gender on test requisition form. |
Reported: Same day
CPT Code: 80061
