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LDL-D
CHOLESTEROL, LDL (LDLC), SERUM

Test Code LDL-D 
Test CHOLESTEROL, LDL (LDLC), SERUM 
Methodology Colorimetric 
Description Useful for the determination of LDL fraction of total cholesterol.

NOTE: This test, when ordered on Medicare patients, is subject to the National Coverage Determination (NCD) policy "Lipids Testing". Please verify that the diagnosis code (ICD-10) you have chosen demonstrates medical necessity for the test as documented in the physician's patient record. The CMS web site or the NorDx Limited Coverage Documentation Guide are available to assist you with this verification. A properly executed Advance Beneficiary Notice (ABN) must be submitted with the specimen if medical necessity is not demonstrated by the ICD-10 code chosen. 

Specimen Draw blood in either a plain, red-top tube or serum gel tube. Spin down and send 0.5 mL (minimum volume: 0.3 mL) of serum refrigerated. 
Reference Values Optimal: <100 mg/dL
Low Risk: 100-129 mg/dL
Borderline High: 130-159 mg/dL
High: 160-189 mg/dL
Very High: > or = 190 mg/dL 
Analytic Time 1 Day 
Day(s) Test Set Up Monday through Sunday 
CPT Code(s) 83721