LIPID PANEL

LAB18

LIPID PAN

 

Collect

One 4.5 mL Green top tube with gel separator (PST).

Pediatric Collection

0.2 mL plasma.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Centrifuge within 30 minutes of collection. Transport to laboratory at 2 - 8 degrees C.

Stability (from collection to initiation)

Ambient: 3 hours; Refrigerated: 7 days; Frozen (-70 degrees C): 1 month; or refer to individual components for specific stability guidelines.

Remarks

Patient should fast 9-12 hours prior to blood draw.

Performed by

PCL Clinical Laboratory - Core

Notes

For laboratories to bill Medicare, each component of a panel must be medically necessary for the treatment or diagnosis of the patient. All tests listed may be ordered individually.

Performed

Daily

Methodology

Refer to individual components for methodology. Panel includes: Chol, HDL, LDL, Trig.

Reported

Same day

Synonyms

  • LAB18

Reference Interval

Effective 05/20/2014:

Component Normal Low Normal High Units
CHOLESTEROL 136 239 mg/dL
HIGH DENSITY LIPOPROTEIN CHOL 40 59 mg/dL
LOW DENSITY LIPOPROTEIN CHOL* 57 159 mg/dL
TRIGLYCERIDES 48 149 mg/dL

*LDL is not calculated when triglyceride value is less than 25 mg/dL or greater than 400 mg/dL.

Before 05/20/2014

Component Sex From Age To Age Normal Low Normal High Units
CHOLESTEROL M/F 0 150 0 200 mg/dL
HIGH DENSITY LIPOPROTEIN CHOL M/F 0 150 40 60 mg/dL
LOW DENSITY LIPOPROTEIN CHOL M/F 0 150 0 130 mg/dL
TRIGLYCERIDES M/F 0 150 0 150 mg/dL

Interpretive Data

Per NCEP Adult Treatment Panel III suggestions: <200 mg/dL is Desirable; 200-239 mg/dL is Borderline High; >=240 mg/dL is High.

The HDL-C reference range is based on NCEP Adult Treatment Panel III suggestions.

LDL-C greater than 159 mg/dL was designated as High by the NCEP Adult Treatment Panel III.  In the 2013 ACC/AHA Blood Cholesterol Guideline specific LDL–C targets are not recommended.

The NCEP Adult Treatment Panel III suggests that a fasting triglyceride level of <150 mg/dL is Normal and 150-199 is Borderline-high.

Performed by

PCL Clinical Laboratory - Core

CPT Codes

80061

Collection

LAB18

LIPID PAN

 

Collect

One 4.5 mL Green top tube with gel separator (PST).

Pediatric Collection

0.2 mL plasma.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Centrifuge within 30 minutes of collection. Transport to laboratory at 2 - 8 degrees C.

Stability (from collection to initiation)

Ambient: 3 hours; Refrigerated: 7 days; Frozen (-70 degrees C): 1 month; or refer to individual components for specific stability guidelines.

Remarks

Patient should fast 9-12 hours prior to blood draw.

Performed by

PCL Clinical Laboratory - Core

Notes

For laboratories to bill Medicare, each component of a panel must be medically necessary for the treatment or diagnosis of the patient. All tests listed may be ordered individually.

Ordering

Performed

Daily

Methodology

Refer to individual components for methodology. Panel includes: Chol, HDL, LDL, Trig.

Reported

Same day

Synonyms

  • LAB18
Result Interpretation

Reference Interval

Effective 05/20/2014:

Component Normal Low Normal High Units
CHOLESTEROL 136 239 mg/dL
HIGH DENSITY LIPOPROTEIN CHOL 40 59 mg/dL
LOW DENSITY LIPOPROTEIN CHOL* 57 159 mg/dL
TRIGLYCERIDES 48 149 mg/dL

*LDL is not calculated when triglyceride value is less than 25 mg/dL or greater than 400 mg/dL.

Before 05/20/2014

Component Sex From Age To Age Normal Low Normal High Units
CHOLESTEROL M/F 0 150 0 200 mg/dL
HIGH DENSITY LIPOPROTEIN CHOL M/F 0 150 40 60 mg/dL
LOW DENSITY LIPOPROTEIN CHOL M/F 0 150 0 130 mg/dL
TRIGLYCERIDES M/F 0 150 0 150 mg/dL

Interpretive Data

Per NCEP Adult Treatment Panel III suggestions: <200 mg/dL is Desirable; 200-239 mg/dL is Borderline High; >=240 mg/dL is High.

The HDL-C reference range is based on NCEP Adult Treatment Panel III suggestions.

LDL-C greater than 159 mg/dL was designated as High by the NCEP Adult Treatment Panel III.  In the 2013 ACC/AHA Blood Cholesterol Guideline specific LDL–C targets are not recommended.

The NCEP Adult Treatment Panel III suggests that a fasting triglyceride level of <150 mg/dL is Normal and 150-199 is Borderline-high.

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

80061

LIPOPROFILE BY NMP (PARTICLE ONLY)

LAB8767

Collect

Clot Activator Tube (ARUP supply #40484). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. Also acceptable: Plain Red, Green (Sodium or Lithium Heparin), or Lavender (EDTA).

Patient Preparation

12-14 hour fast is preferred but not required.

Specimen Preparation

Gently invert tube to mix contents; allow to clot at room temperature for 30 minutes. Separate from cells ASAP or within 2 hours of collection. Transfer 2 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 1 mL)

Unacceptable Conditions

Separator tubes. Grossly hemolyzed specimens.

Storage/Transport Temperature

CRITICAL REFRIGERATED.

Stability (from collection to initiation)

Ambient: Unacceptable; Refrigerated: 6 days; Frozen: Unacceptable

Notes

Test includes: Insulin resistance calculation; lipoprotein particle number; lipoprotein subfractions.

Performed

Varies

Methodology

Quantitative Nuclear Magnetic Resonance Spectroscopy

Reported

3-6 days

Synonyms

  • HDL Particle
  • Lipoprotein Analysis (LDL-P, HDL-P, VLDL-P, LDL Size)
  • Insulin resistance
  • LDL Particle
  • LAB8767

Ordering Recommendations

Use in appropriate high-risk patients (eg, type 2 diabetes mellitus) in whom LDL particle number is being used to guide therapy. Not recommended for cardiovascular disease risk assessment in most individuals; preferred test is Lipid Panel (0020421).

Reference Interval

By Report

CPT Codes

83704
Collection

LAB8767

Collect

Clot Activator Tube (ARUP supply #40484). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. Also acceptable: Plain Red, Green (Sodium or Lithium Heparin), or Lavender (EDTA).

Patient Preparation

12-14 hour fast is preferred but not required.

Specimen Preparation

Gently invert tube to mix contents; allow to clot at room temperature for 30 minutes. Separate from cells ASAP or within 2 hours of collection. Transfer 2 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 1 mL)

Unacceptable Conditions

Separator tubes. Grossly hemolyzed specimens.

Storage/Transport Temperature

CRITICAL REFRIGERATED.

Stability (from collection to initiation)

Ambient: Unacceptable; Refrigerated: 6 days; Frozen: Unacceptable

Notes

Test includes: Insulin resistance calculation; lipoprotein particle number; lipoprotein subfractions.
Ordering

Performed

Varies

Methodology

Quantitative Nuclear Magnetic Resonance Spectroscopy

Reported

3-6 days

Synonyms

  • HDL Particle
  • Lipoprotein Analysis (LDL-P, HDL-P, VLDL-P, LDL Size)
  • Insulin resistance
  • LDL Particle
  • LAB8767

Ordering Recommendations

Use in appropriate high-risk patients (eg, type 2 diabetes mellitus) in whom LDL particle number is being used to guide therapy. Not recommended for cardiovascular disease risk assessment in most individuals; preferred test is Lipid Panel (0020421).
Result Interpretation

Reference Interval

By Report
Administrative

CPT Codes

83704

LIPOPROTEIN (a)

LAB563

 

Collect

Serum separator tube or plasma separator tube. Also acceptable: Green (sodium or lithium heparin), lavender (EDTA), or pink (K2EDTA).

Specimen Preparation

Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Unacceptable Conditions

Body Fluids.

Storage/Transport Temperature

Frozen.

Stability (from collection to initiation)

After separation from cells: Ambient: 8 hours; Refrigerated: 2 weeks; Frozen: 3 months

Performed

Sun-Sat

Methodology

Quantitative Immunoturbidimetry

Reported

Within 24 hours

Synonyms

  • LPA
  • LAB563
  • LIPOPROTEIN

Ordering Recommendations

Not recommended for cardiovascular risk assessment in asymptomatic adults. May aid in CVD risk stratification in specific populations.

Reference Interval

< 30 mg/dL

CPT Codes

83695
Collection

LAB563

 

Collect

Serum separator tube or plasma separator tube. Also acceptable: Green (sodium or lithium heparin), lavender (EDTA), or pink (K2EDTA).

Specimen Preparation

Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Unacceptable Conditions

Body Fluids.

Storage/Transport Temperature

Frozen.

Stability (from collection to initiation)

After separation from cells: Ambient: 8 hours; Refrigerated: 2 weeks; Frozen: 3 months
Ordering

Performed

Sun-Sat

Methodology

Quantitative Immunoturbidimetry

Reported

Within 24 hours

Synonyms

  • LPA
  • LAB563
  • LIPOPROTEIN

Ordering Recommendations

Not recommended for cardiovascular risk assessment in asymptomatic adults. May aid in CVD risk stratification in specific populations.
Result Interpretation

Reference Interval

< 30 mg/dL
Administrative

CPT Codes

83695

LITHIUM, SERUM

LAB29

 

Collect

One 4.5 mL Red or Gold top tube with gel separator (SST).

Pediatric Collection

Minimum volume: 1 ml serum.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Allow to clot for 30 minutes before centrifugation. Centrifuge within 2 hours of collection and place at least 1.0 mL serum in an aliquot tube. Deliver to lab refrigerated/on ice (2-8 degrees C).

Stability (from collection to initiation)

Before centrifugation: Ambient, 2 hours.

Serum aliquot: Ambient, 24 hours; Refrigerated (2-8 degrees C), 6 days; Frozen (-20 degrees C): 1 month.

Remarks

Specimen should be a trough level drawn 12 hours after the dose.

Performed by

PCL Clinical Laboratory - Toxicology

Performed

Daily

Methodology

Ion Selective Electrode.

Reported

Same day

Synonyms

  • -332
  • LAB29

Reference Interval

0.5-1.2 mmol/L

Performed by

PCL Clinical Laboratory - Toxicology

CPT Codes

80178

Collection

LAB29

 

Collect

One 4.5 mL Red or Gold top tube with gel separator (SST).

Pediatric Collection

Minimum volume: 1 ml serum.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Allow to clot for 30 minutes before centrifugation. Centrifuge within 2 hours of collection and place at least 1.0 mL serum in an aliquot tube. Deliver to lab refrigerated/on ice (2-8 degrees C).

Stability (from collection to initiation)

Before centrifugation: Ambient, 2 hours.

Serum aliquot: Ambient, 24 hours; Refrigerated (2-8 degrees C), 6 days; Frozen (-20 degrees C): 1 month.

Remarks

Specimen should be a trough level drawn 12 hours after the dose.

Performed by

PCL Clinical Laboratory - Toxicology

Ordering

Performed

Daily

Methodology

Ion Selective Electrode.

Reported

Same day

Synonyms

  • -332
  • LAB29
Result Interpretation

Reference Interval

0.5-1.2 mmol/L

Performed by

PCL Clinical Laboratory - Toxicology

Administrative

CPT Codes

80178

LOW DENSITY LIPOPROT - DIRECT

LAB102

 

Collect

Plasma separator tube or serum separator tube. Also acceptable: Green (sodium or lithium heparin), lavender (EDTA), or pink (K2EDTA).

Specimen Preparation

Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 8 hours; Refrigerated: 5 days; Frozen: 1 month

Performed

Sun-Sat

Methodology

Quantitative Detergent Solubilization/ Enzymatic

Reported

Within 24 hours

Synonyms

  • LDL, Direct
  • Low Density Lipoprotein, Direct
  • LAB102
  • LDL D

Reference Interval

Age
Desirable
Borderline
Higher Risk
0-19 years109 mg/dL or less110-129 mg/dL130 mg/dL or greater
20 years and older129 mg/dL or less (99 mg/dL or less if patient has CHD)130-159 mg/dL160 mg/dL or greater

Interpretive Data

CHD Risk Factors:                                                            
+1  Age: Men, 45 years and older                                         
                Women, 55 years and older or premature menopause without estrogen therapy                                   
+1  Family history of premature CHD                                        
+1  Current smoking                                                        
+1  Hypertension                                                           
+1  Diabetes mellitus                                                      
+1  Low HDL Cholesterol: 39 mg/dL or less                                 
 -1  High HDL Cholesterol: 60 mg/dL or greater     
                                                                              
LDL Cholesterol: Therapeutic goal                                            
99 mg/dL or less if CHD is present  (Optional 69 mg/dL or less).   
129 mg/dL or less if no CHD and two or more risk factors.                  
159 mg/dL or less if no CHD. 
(Circulation 2004; 110:227-39)

CPT Codes

83721
Collection

LAB102

 

Collect

Plasma separator tube or serum separator tube. Also acceptable: Green (sodium or lithium heparin), lavender (EDTA), or pink (K2EDTA).

Specimen Preparation

Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 8 hours; Refrigerated: 5 days; Frozen: 1 month
Ordering

Performed

Sun-Sat

Methodology

Quantitative Detergent Solubilization/ Enzymatic

Reported

Within 24 hours

Synonyms

  • LDL, Direct
  • Low Density Lipoprotein, Direct
  • LAB102
  • LDL D
Result Interpretation

Reference Interval

Age
Desirable
Borderline
Higher Risk
0-19 years109 mg/dL or less110-129 mg/dL130 mg/dL or greater
20 years and older129 mg/dL or less (99 mg/dL or less if patient has CHD)130-159 mg/dL160 mg/dL or greater

Interpretive Data

CHD Risk Factors:                                                            
+1  Age: Men, 45 years and older                                         
                Women, 55 years and older or premature menopause without estrogen therapy                                   
+1  Family history of premature CHD                                        
+1  Current smoking                                                        
+1  Hypertension                                                           
+1  Diabetes mellitus                                                      
+1  Low HDL Cholesterol: 39 mg/dL or less                                 
 -1  High HDL Cholesterol: 60 mg/dL or greater     
                                                                              
LDL Cholesterol: Therapeutic goal                                            
99 mg/dL or less if CHD is present  (Optional 69 mg/dL or less).   
129 mg/dL or less if no CHD and two or more risk factors.                  
159 mg/dL or less if no CHD. 
(Circulation 2004; 110:227-39)

Administrative

CPT Codes

83721

LOW MOLECULAR WEIGHT HEPARIN LEVEL

LAB102

 

Collect

Plasma separator tube or serum separator tube. Also acceptable: Green (sodium or lithium heparin), lavender (EDTA), or pink (K2EDTA).

Specimen Preparation

Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 8 hours; Refrigerated: 5 days; Frozen: 1 month

Performed

Sun-Sat

Methodology

Quantitative Detergent Solubilization/ Enzymatic

Reported

Within 24 hours

Synonyms

  • LDL, Direct
  • Low Density Lipoprotein, Direct
  • LAB102
  • LDL D

Reference Interval

Age
Desirable
Borderline
Higher Risk
0-19 years109 mg/dL or less110-129 mg/dL130 mg/dL or greater
20 years and older129 mg/dL or less (99 mg/dL or less if patient has CHD)130-159 mg/dL160 mg/dL or greater

Interpretive Data

CHD Risk Factors:                                                            
+1  Age: Men, 45 years and older                                         
                Women, 55 years and older or premature menopause without estrogen therapy                                   
+1  Family history of premature CHD                                        
+1  Current smoking                                                        
+1  Hypertension                                                           
+1  Diabetes mellitus                                                      
+1  Low HDL Cholesterol: 39 mg/dL or less                                 
 -1  High HDL Cholesterol: 60 mg/dL or greater     
                                                                              
LDL Cholesterol: Therapeutic goal                                            
99 mg/dL or less if CHD is present  (Optional 69 mg/dL or less).   
129 mg/dL or less if no CHD and two or more risk factors.                  
159 mg/dL or less if no CHD. 
(Circulation 2004; 110:227-39)

CPT Codes

83721
Collection

LAB102

 

Collect

Plasma separator tube or serum separator tube. Also acceptable: Green (sodium or lithium heparin), lavender (EDTA), or pink (K2EDTA).

Specimen Preparation

Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 8 hours; Refrigerated: 5 days; Frozen: 1 month
Ordering

Performed

Sun-Sat

Methodology

Quantitative Detergent Solubilization/ Enzymatic

Reported

Within 24 hours

Synonyms

  • LDL, Direct
  • Low Density Lipoprotein, Direct
  • LAB102
  • LDL D
Result Interpretation

Reference Interval

Age
Desirable
Borderline
Higher Risk
0-19 years109 mg/dL or less110-129 mg/dL130 mg/dL or greater
20 years and older129 mg/dL or less (99 mg/dL or less if patient has CHD)130-159 mg/dL160 mg/dL or greater

Interpretive Data

CHD Risk Factors:                                                            
+1  Age: Men, 45 years and older                                         
                Women, 55 years and older or premature menopause without estrogen therapy                                   
+1  Family history of premature CHD                                        
+1  Current smoking                                                        
+1  Hypertension                                                           
+1  Diabetes mellitus                                                      
+1  Low HDL Cholesterol: 39 mg/dL or less                                 
 -1  High HDL Cholesterol: 60 mg/dL or greater     
                                                                              
LDL Cholesterol: Therapeutic goal                                            
99 mg/dL or less if CHD is present  (Optional 69 mg/dL or less).   
129 mg/dL or less if no CHD and two or more risk factors.                  
159 mg/dL or less if no CHD. 
(Circulation 2004; 110:227-39)

Administrative

CPT Codes

83721

LS RATIO with PG PROFILE

LAB3337

 

Collect

5 - 10 mL Amniotic fluid or vaginal pool. (Samples contaminated with blood and/or meconium are acceptable.)

Minimum volume of amniotic fluid = 2.5 mL. (Samples with less than 2.5mL will be rejected.)

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; improper storage conditions.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Deliver to lab on ice immediately.

Stability (from collection to initiation)

4 hours ambient. 24 hours refridgerated. Unacceptable Frozen.

Remarks

COMPLETE Fetal Lung Maturity Send-out Form

(available in the laboratory LOB 253).

LS/PG ratio will only be done on amniocentesis fluid if the LBC result

is indeterminate.

Cutoff time for submission to reference lab for same day testing is 10:00 daily. LSPG requisition for reference lab must be completed prior to testing.

Performed by

Swedish Medical Center- Chemistry Laboratory

Performed

Daily, dayshift only.

Must be received at Rose Medical Center lab:

1200 Mon-Fri

1100 Sat

Methodology

Helena migration plates.

(TLC Method)

Reported

Same day

Synonyms

  • LAB3337
  • LSPG
  • LS RATIO

Performed by

Swedish Medical Center- Chemistry Laboratory

CPT Codes

84081

Collection

LAB3337

 

Collect

5 - 10 mL Amniotic fluid or vaginal pool. (Samples contaminated with blood and/or meconium are acceptable.)

Minimum volume of amniotic fluid = 2.5 mL. (Samples with less than 2.5mL will be rejected.)

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; improper storage conditions.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Deliver to lab on ice immediately.

Stability (from collection to initiation)

4 hours ambient. 24 hours refridgerated. Unacceptable Frozen.

Remarks

COMPLETE Fetal Lung Maturity Send-out Form

(available in the laboratory LOB 253).

LS/PG ratio will only be done on amniocentesis fluid if the LBC result

is indeterminate.

Cutoff time for submission to reference lab for same day testing is 10:00 daily. LSPG requisition for reference lab must be completed prior to testing.

Performed by

Swedish Medical Center- Chemistry Laboratory

Ordering

Performed

Daily, dayshift only.

Must be received at Rose Medical Center lab:

1200 Mon-Fri

1100 Sat

Methodology

Helena migration plates.

(TLC Method)

Reported

Same day

Synonyms

  • LAB3337
  • LSPG
  • LS RATIO
Result Interpretation

Performed by

Swedish Medical Center- Chemistry Laboratory

Administrative

CPT Codes

84081

LSD URINE

Collect

Random urine.

Specimen Preparation

Protect from light. Transfer 2 mL urine to an ARUP Amber Transport Tube. (Min: 0.85 mL)

Unacceptable Conditions

Specimens not protected from light. Specimens submitted in glass containers.

Storage/Transport Temperature

Refrigerated. Also acceptable: Room temperature or frozen.

Stability (from collection to initiation)

Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 month

Notes

If screen is positive, then confirmation will be added. Additional charges apply.

Performed

Varies

Methodology

Qualitative Enzyme-Linked Immunosorbent Assay/Quantitative High Performance Liquid Chromatography/Tandem Mass Spectrometry

Reported

3-9 days

Synonyms

  • LSD-25
  • Acid, Urine
  • Lysergide
  • D-lysergic Acid Diethylamide, Urine
  • LSD URINE

Reference Interval

By report

CPT Codes

80307; if positive add 80323 (Alt code: if positive add G0480)
Collection

Collect

Random urine.

Specimen Preparation

Protect from light. Transfer 2 mL urine to an ARUP Amber Transport Tube. (Min: 0.85 mL)

Unacceptable Conditions

Specimens not protected from light. Specimens submitted in glass containers.

Storage/Transport Temperature

Refrigerated. Also acceptable: Room temperature or frozen.

Stability (from collection to initiation)

Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 month

Notes

If screen is positive, then confirmation will be added. Additional charges apply.
Ordering

Performed

Varies

Methodology

Qualitative Enzyme-Linked Immunosorbent Assay/Quantitative High Performance Liquid Chromatography/Tandem Mass Spectrometry

Reported

3-9 days

Synonyms

  • LSD-25
  • Acid, Urine
  • Lysergide
  • D-lysergic Acid Diethylamide, Urine
  • LSD URINE
Result Interpretation

Reference Interval

By report
Administrative

CPT Codes

80307; if positive add 80323 (Alt code: if positive add G0480)

LUPUS ANTICOAGULANT PANEL

LAB478

 

Collect

One 2.7 mL blue top (3.2% citrate plasma) filled to at least 90% capacity.

 

All blue top tubes collected for coagulation assays that do not have a blood culture collected first must have a discard tube collected prior to filling. The discard tube should be another blue top tube in which greater than 1 mL of blood is collected.

Unacceptable Conditions

Tube fill volume less than 90% or greater than 110%; any anticoagulant other than 3.2% citrate; more than 4 hours since collection; clotted sample; hemolyzed sample; sample diluted with I.V. fluid; frozen sample received thawed; specimen not properly identified; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.
Offsite: Centrifuge within 30 minutes of collection, place 1.5 mL platelet poor plasma in an aliquot container and transport to the lab frozen.

Stability (from collection to initiation)

Before centrifugation: 4 hours.

After centrifugation: Ambient: 4 hours; Refrigerated: 4 hours.

Plasma aliquot: Ambient, 4 hours; Refrigerated, 4 hours; Frozen (-20 degrees C), 2 weeks; Frozen (-70 degrees C), 6 months.

Performed by

PCL Clinical Laboratory - Specials (Coagulation)

Performed

Tuesday and Friday, day shift only

Methodology

Clotting

Reported

Same day

Synonyms

  • LAB478

Reference Interval

RVVT: 32.0 - 45.0 seconds

Ratio (if applicable): Less than 1.23

Hexagonal Phospholipid Neutralization: Negative <8.6 seconds

 

Interpretive Data

Abnormal results may be caused by: lupus anticoagulant; deficiency of factor I, II, V, or X; warfarin/coumadin therapy; specific inhibitor to factor II or V; fibrin split products.

Performed by

PCL Clinical Laboratory - Specials (Coagulation)

CPT Codes

85613 - RVVT; if needed add 85613 RVVT confirmation, 85613 RVVT correction and 85613 RVVT confirmation correction.

85598 - Hexagonal Phospholipid Neutralization:

Collection

LAB478

 

Collect

One 2.7 mL blue top (3.2% citrate plasma) filled to at least 90% capacity.

 

All blue top tubes collected for coagulation assays that do not have a blood culture collected first must have a discard tube collected prior to filling. The discard tube should be another blue top tube in which greater than 1 mL of blood is collected.

Unacceptable Conditions

Tube fill volume less than 90% or greater than 110%; any anticoagulant other than 3.2% citrate; more than 4 hours since collection; clotted sample; hemolyzed sample; sample diluted with I.V. fluid; frozen sample received thawed; specimen not properly identified; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.
Offsite: Centrifuge within 30 minutes of collection, place 1.5 mL platelet poor plasma in an aliquot container and transport to the lab frozen.

Stability (from collection to initiation)

Before centrifugation: 4 hours.

After centrifugation: Ambient: 4 hours; Refrigerated: 4 hours.

Plasma aliquot: Ambient, 4 hours; Refrigerated, 4 hours; Frozen (-20 degrees C), 2 weeks; Frozen (-70 degrees C), 6 months.

Performed by

PCL Clinical Laboratory - Specials (Coagulation)

Ordering

Performed

Tuesday and Friday, day shift only

Methodology

Clotting

Reported

Same day

Synonyms

  • LAB478
Result Interpretation

Reference Interval

RVVT: 32.0 - 45.0 seconds

Ratio (if applicable): Less than 1.23

Hexagonal Phospholipid Neutralization: Negative <8.6 seconds

 

Interpretive Data

Abnormal results may be caused by: lupus anticoagulant; deficiency of factor I, II, V, or X; warfarin/coumadin therapy; specific inhibitor to factor II or V; fibrin split products.

Performed by

PCL Clinical Laboratory - Specials (Coagulation)

Administrative

CPT Codes

85613 - RVVT; if needed add 85613 RVVT confirmation, 85613 RVVT correction and 85613 RVVT confirmation correction.

85598 - Hexagonal Phospholipid Neutralization:

LUPUS SENSITIVE APTT

Collect

One 2.7 mL blue top tube (3.2% citrate plasma) filled to at least 80% capacity.

Pediatric Collection

Tubes must be filled to 80-100% capacity. Minimum volume: 0.5 mL of platelet poor plasma.

See above for transport requirements.

Unacceptable Conditions

Tubes not filled to at least 80% capacity; any anticoagulant other than 3.2% citrate; clotted sample; hemolyzed sample; sample diluted with I.V. fluid; frozen sample received thawed; specimen not properly identified; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.
Offsite: Centrifuge to obtain platelet poor plasma. Freeze 0.5 mL plasma in plastic aliquot tube. Keep frozen at -20 degrees C during transport.

Stability (from collection to initiation)

Before centrifugation: Ambient, 1 hour; Refrigerated, 4 hours.

Platelet-poor plasma aliquot: Ambient, 1 hour; Refrigerated, 4 hours; Frozen (-20 degrees C), 1 month.

Remarks

When result is higher than reference range, reflex correction studies at 0 and 2 hours will automatically be performed.

Performed by

PCL Clinical Laboratory - Coagulation

Performed

2-3 times per week

Methodology

A quantitative clotting assay measured optically.

Reported

Same day

Reference Interval

22.0 - 31.0 seconds

Performed by

PCL Clinical Laboratory - Coagulation

CPT Codes

85730
Collection

Collect

One 2.7 mL blue top tube (3.2% citrate plasma) filled to at least 80% capacity.

Pediatric Collection

Tubes must be filled to 80-100% capacity. Minimum volume: 0.5 mL of platelet poor plasma.

See above for transport requirements.

Unacceptable Conditions

Tubes not filled to at least 80% capacity; any anticoagulant other than 3.2% citrate; clotted sample; hemolyzed sample; sample diluted with I.V. fluid; frozen sample received thawed; specimen not properly identified; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.
Offsite: Centrifuge to obtain platelet poor plasma. Freeze 0.5 mL plasma in plastic aliquot tube. Keep frozen at -20 degrees C during transport.

Stability (from collection to initiation)

Before centrifugation: Ambient, 1 hour; Refrigerated, 4 hours.

Platelet-poor plasma aliquot: Ambient, 1 hour; Refrigerated, 4 hours; Frozen (-20 degrees C), 1 month.

Remarks

When result is higher than reference range, reflex correction studies at 0 and 2 hours will automatically be performed.

Performed by

PCL Clinical Laboratory - Coagulation
Ordering

Performed

2-3 times per week

Methodology

A quantitative clotting assay measured optically.

Reported

Same day
Result Interpretation

Reference Interval

22.0 - 31.0 seconds

Performed by

PCL Clinical Laboratory - Coagulation
Administrative

CPT Codes

85730

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