Diabetes Risk Panel with Score
Test Code
92027
82947, 83036, 80061
CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.
Clinical Significance
Diabetes Risk Panel with Score - To assist with control of blood glucose levels, the American Diabetes Association (ADA) has recommended glycated hemoglobin testing (HbA1c) twice a year for patients with stable glycemia, and quarterly for patients with poor glucose control. Interpretative ranges are based on ADA guidelines.
Test Resources
Test Details
Glucose
Hemoglobin A1c
Total Cholesterol, HDL Cholesterol, Triglycerides, Non-HDL and Calculated Components
8 Year Diabetes Risk
If Triglyceride is >400 mg/dL, Direct LDL will be performed at an additional charge (CPT code(s): 83721).
Hemoglobin A1c
Total Cholesterol, HDL Cholesterol, Triglycerides, Non-HDL and Calculated Components
8 Year Diabetes Risk
If Triglyceride is >400 mg/dL, Direct LDL will be performed at an additional charge (CPT code(s): 83721).
If a cholesterol measurement is to be performed along with triglycerides, but not part of a 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.
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 and 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 hour, a second dose of 50 mg/kg administered over 4 hours and a third dose of 100 mg/kg administered over 16 hours.
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 and 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 hour, a second dose of 50 mg/kg administered over 4 hours and a third dose of 100 mg/kg administered over 16 hours.
Methodology
Turbidimetric Inhibition Immunoassay • Spectrophotometry (SP)
Reference Range(s)
See individual tests
Preferred Specimen(s)
4 mL serum collected in a serum separator tube (SST) and 1 mL whole blood collected in an EDTA (lavender-top) tube
Minimum Volume
2 mL serum • 0.5 mL whole blood
Collection Instructions
For risk calculations to be performed, the following patient-specific information must be provided at the time of order:
Age: Years
Gender: M (for male) or F (for female)
Transport Container
Serum separator tube (SST) and EDTA (lavender-top) tube
Transport Temperature
Room temperature
Specimen Stability
- Serum
- Room temperature: 48 hours
- Refrigerated: 7 days
- Frozen: 28 days
- Whole blood
- Room temperature: 7 days
- Refrigerated: 7 days
- Frozen: 6 months
Reject Criteria
See individual tests
Setup Schedule
4 mL serum collected in a serum separator tube (SST) and 1 mL whole blood collected in an EDTA (lavender-top) tube
2 mL serum • 0.5 mL whole blood
For risk calculations to be performed, the following patient-specific information must be provided at the time of order:
Age: Years
Gender: M (for male) or F (for female)
Age: Years
Gender: M (for male) or F (for female)
Serum separator tube (SST) and EDTA (lavender-top) tube
Room temperature
Serum
Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 28 days
Whole blood
Room temperature: 7 days
Refrigerated: 7 days
Frozen: 6 months
Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 28 days
Whole blood
Room temperature: 7 days
Refrigerated: 7 days
Frozen: 6 months
See individual tests