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Test Code NMRLISO NMR LipoProfile® With Lipids and Insulin Resistance Markers (With Graph) (123638)

Additional Codes

LabCorp Test Code: 123638

Useful For

NMR LDL-P is a management tool used in appropriate high-risk patients (type 2 diabetes mellitus, metabolic syndrome, CVD risk equivalent, statin-treated patients) to adjudicate response to treatment and guide adjustment in therapy. It is used in conjunction with other lipid measurements and clinical evaluation to aid in the management of lipoprotein disorders associated with cardiovascular disease

Synonyms/Keywords

NMR, Small dense LDL, HDL-C

Specimen Requirements

Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
Overnight fasting preferred Serum Red Top Tube (RTT)   2 mL 1 mL  
Plasma EDTA no gel Lavendar Top Tube (LTT) or Heparin green-top no gel (GTT) tube   2 mL 1 mL  

Collection/Processing Instructions

Patient fasting is not required, however, in conditions where triglyceride values provide a priori diagnostic information, such as screening for familial hypercholesterolemia or early onset heart disease, pancreatitis, or confirming hypertriglyceridemia, the patient should be counseled to fast 12 to 14 hours prior to blood draw.

 

Collect specimen in plain red-top, green-top (heparin-no gel), or lavender-top (EDTA-no gel) tubes. Serum or plasma drawn in gel-barrier collection tubes should not be used.  Gently invert tube 8 to 10 times to mix contents and allow specimen to clot for 30 minutes upright at room temperature prior to centrifugation (Plasma tubes should not clot). Centrifuge specimen within two hours of collection at 1800xg for 10 to 15 minutes to separate serum/plasma from the red cells and to avoid red cell contamination during shipment. If the sample cannot be centrifuged immediately, the sample should be refrigerated (at 2C to 8C) and centrifuged within 24 hours of collection.  Note: Centrifuging the specimen while still cold may negatively affect the migration of the gel to the serum/red cell interface and may increase the likelihood of specimens being contaminated with red cells during shipment. All specimens should be centrifuged by the client prior to shipment to Labcorp to ensure sample integrity.  Immediately after centrifugation, pipette separated red-top serum or green-top/lavender-top plasma into a transport tube and label accordingly (serum, heparin plasma, EDTA plasma). Keep samples refrigerated until shipment to the laboratory and ship with frozen cool packs.   Do not store at room temperature. Do not freeze the sample.

Specimen Stability Information

Specimen Type Temperature Time
Serum or Plasma Refrigerate (preferred) 6 days
Samples drawn at regional centers or outreach facilities should not be drawn on Friday.

Rejection Criteria

Unspun Samples
Plasma/Serum contaminated with red cells
Citrated Plasma (Light Blue Top Tube)

Gross Hemolysis

Stored ambient for more than 24 hours
Sample more than 6 days old

Test Components

Color graphical report; historical reporting (LDL-P, LDL-C); insulin resistance and diabetes risk markers (large VLDL-P, small LDL-P, large HDL-P, VLDL size, LDL size, HDL size); insulin-resistance score; lipoprotein particle number (LDL-P); particle concentration and size (total HDL-P, small LDL-P, LDL size); standard lipid panel (total cholesterol, calculated LDL cholesterol, HDL cholesterol, triglycerides).

Test Information

The NMR LipoProfile test is an FDA-cleared blood test that directly measures the amount of LDL circulating in the body. "LDL" is low-density lipoprotein and has long been recognized as a major causal factor in the development of heart disease. Although the relationship of increased LDL particle number and plaque buildup in the artery wall has been known since the 1950s, a diagnostic test did not exist to measure LDL particle number (LDL-P). Historically, LDL cholesterol, or LDL-C, has been used to estimate LDL levels to assess a patient's LDL-related cardiovascular risk and judge an individual's response to LDL-lowering therapy. Today, a more reliable measure of LDL exists that directly counts the number of LDL particles a patient has using NMR technology.

Interferences

Refrigerate all acceptable tube types as soon as possible after centrifugation and within 24 hours of collection. Keep refrigerated prior to shipment, and ship on frozen cool packs. Do not store at room temperature. Do not freeze the sample. Sample is stable refrigerated for six days.

 

If triglyceride level is >800 mg/dL, LDL cholesterol will not be calculated.

Interpretations

Interpretive report

Reference Range Information

Performing Location Reference Range
LabCorp of America Refer to provided report.

Performing Laboratory Name

LabCorp of America

Referral Laboratory Information

Address Telephone Website Link Marshfield Lab Account #
Laboratory Corporation of America 6370 Wilcox Road Dublin, OH 43016 800-282-7300 www.labcorp.com 48300485

Performing Information

Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
LabCorp of America Monday-Friday 2-3 days Nuclear Magnetic Resonance (NMR)

CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
83704        

Note: See SODB for further information on CPT code.

Outreach CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
80061        
83704        

Ordering Applications

Ordering Application Description
Centricity NMR Lipoprotein Quant #123638 
Cerner NMR LipoProfile Test - LDL, HDL-C, and Triglycerides by NMR #123638
COM NMR Lipoprotein Quant #123638