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Test Code LIPRX PROFILE LIPID RX 2

Important Note

Tests included in LIPRX are: Tests included are: ALT, AST, BUN, Creatinine, CK, Glucose, Uric Acid,  Cholesterol, Triglycerides, HDL, LDL (calculated), Cholesterol/HDL ratio and non-HDL Cholesterol.
This test is subject to reflex testing, see Laboratory Reflex Testing Policy, you have the option to decline reflex testing if you believe it is not medically necessary; If Triglycerides are greater than 400 mg.dL a measured LDL will be performed.

Test subject to Medicare National Coverage Determination (NCD) see individual tests. 

When ordering a custom panel, Medicare requires the clinician confirm each test in the panel is medically necessary for the patient’s treatment. By regulation, annually we will send a physician acknowledgement letter to ordering clinicians requesting a signature attesting to medical necessity review.

 

 

Additional Codes

Primary ID

Epic Code

Mayo Access ID

LIPRX

LAB102 N/A

 

Specimen Information

Container

Specimen

Temperature

Collect Vol

Submit Vol

Minimum Vol

Stability
SST Serum

Refrigerate

4 mL 2 mL 1 mL 5 days

 

Test Schedule / Analytical Time / Test Priority

Daily / 24 Hours / Not available STAT

Method

See Individual Tests.

CPT(s)

See Individual Tests.

Instrumentation

See Individual Tests.

Reference Range

See Individual Tests.

Section

Chemistry-1

Performing Location

University of Vermont Medical Center

Is the UVMMC lab NY State Certified to perform this testing?  Yes/No

Yes

LOINC Code Information

Result Code Reporting Name LOINC Code
BUN BUN 3094-0
CREA Creatinine 2160-0
CGFR GFR, Calculated 50210-4
SGL Glucose, Serum 2345-7
AST AST 1920-8
ALT ALT 1742-6
URIC Uric Acid 3084-1
CK CK 2157-6
CHOL Cholesterol 2093-3
TRIG Triglyceride 2571-8
HDL HDL 2085-9
LDL LDL, Calculated 2089-1
CHHDLR Chol/HDL Ratio 9830-1
FASTN Fasting? 49541-6
NHDLCH Non HDL Cholesterol 43396-1