Test Details
Mnemonic
LIPE
Ordering Code
3721550
CPT-4 Code(s)
82465, 83700, 84478
Specimen Information
Patient Preparation
Patient should be fasting for at least 12 hours prior to collection. For optimal results, patient conditions at the time of collection should be: following a stable diet for at least a week and stable body weight.
If a cholesterol measurement is to be performed along with triglycerides, but not part of lipid panel, then the patient should be fasting 9-12 hours prior to collection. If the cholesterol is ordered as part of a lipid panel, then a fasting sample is not required. Triglyceride test only: Patient should fast 9-12 hours prior to collection. As part of lipid panel testing: A fasting sample is not required. The assay manufacturer Beckman Coulter advises: "N-Acetyl Cysteine (NAC), when administered in therapeutic concentrations (for the treatment of acetaminophen overdose), has been determined to interfere with assays for cholesterol, uric acid" where "NAC interference may lead to falsely low results." According to Beckman Coulter, the NAC interference should be insignificant by 12 hours after completion of the initial loading dose of an IV infusion treatment regimen consisting of an initial loading dose of 150 mg/kg administered over 1 hr, a second dose of 50 mg/kg administered over 4 hrs and a third dose of 100 mg/kg administered over 16 hrs.
If a cholesterol measurement is to be performed along with triglycerides, but not part of lipid panel, then the patient should be fasting 9-12 hours prior to collection. If the cholesterol is ordered as part of a lipid panel, then a fasting sample is not required. Triglyceride test only: Patient should fast 9-12 hours prior to collection. As part of lipid panel testing: A fasting sample is not required. The assay manufacturer Beckman Coulter advises: "N-Acetyl Cysteine (NAC), when administered in therapeutic concentrations (for the treatment of acetaminophen overdose), has been determined to interfere with assays for cholesterol, uric acid" where "NAC interference may lead to falsely low results." According to Beckman Coulter, the NAC interference should be insignificant by 12 hours after completion of the initial loading dose of an IV infusion treatment regimen consisting of an initial loading dose of 150 mg/kg administered over 1 hr, a second dose of 50 mg/kg administered over 4 hrs and a third dose of 100 mg/kg administered over 16 hrs.
Collect
Serum separator tube (SST)
Specimen Preparation
Centrifuge, separate serum from cells and send 2.0 mL serum in a screw capped plastic vial.
Alternate Specimen
Serum: Red top
Plasma: Lavender EDTA
Plasma: Lavender EDTA
Minimum Volume
1.0 mL
Transport Temperature
Refrigerated
Rejection Criteria
Specimens received room temperature
Stability
Room temperature: 24 hours
Refrigerated: 7 days
Frozen: 14 days
Refrigerated: 7 days
Frozen: 14 days
Methodology
Agarose Gel Electrophoresis
Reference Range
See report
Performing Laboratory
Quest
New York DOH Approval Status
Yes