Diabetes and ASCVD Risk Panel with Scores

Diabetes and ASCVD Risk Panel with Scores

Test Code

92062
82947, 83036, 80061
CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.
92062
82947, 83036, 80061
CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.
Not offered in Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano. Please provide SERVICE AREA INFORMATION to find available tests you can order.
In-home collection is not available in your area through Quest Mobile.

Clinical Significance

Diabetes and ASCVD Risk Panel with Scores - 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 Guide

Laboratory Testing for Diabetes Diagnosis and Management

Test Details

Includes

  • Glucose
  • Hemoglobin A1c
  • Total Cholesterol, HDL Cholesterol, Triglycerides, Non-HDL and Calculated Components
  • Risks and Personal Factors
  •  
  • If Triglyceride is >400 mg/dL, then Direct LDL will be performed at an additional charge (CPT code(s): 83721).

Patient Preparation

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, 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 hrs and a third dose of 100 mg/kg administered over 16 hrs.

Methodology

Turbidimetric Inhibition Immunoassay • Spectrophotometry (SP)

Reference Range(s)

See individual tests

LOINC® Codes, Performing Laboratory

Service Area must be determined
Glucose
Hemoglobin A1c
Total Cholesterol, HDL Cholesterol, Triglycerides, Non-HDL and Calculated Components
Risks and Personal Factors

If Triglyceride is >400 mg/dL, then 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, 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 hrs and a third dose of 100 mg/kg administered over 16 hrs.

Methodology

Turbidimetric Inhibition Immunoassay • Spectrophotometry (SP)

Reference Range(s)

See individual tests
Service Area must be determined

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)
Race - African American: Y (for yes) or N (for no)
Systolic Blood Pressure: mmHg
Treatment for High B.P.: Y (for yes) or N (for no)
Diabetes Status: Y (for yes) or N (for no)
Smoking Status: Y (for yes) or N (for no)

Transport Container

Serum separator tube (SST) and EDTA (lavender-top) tube

Transport Temperature

Refrigerated (cold packs)

Reject Criteria

See individual tests • Sodium fluoride/oxalate (grey-top) tube • Heparinized plasma

Setup Schedule, Specimen Stability

Service Area must be determined
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)
Race - African American: Y (for yes) or N (for no)
Systolic Blood Pressure: mmHg
Treatment for High B.P.: Y (for yes) or N (for no)
Diabetes Status: Y (for yes) or N (for no)
Smoking Status: Y (for yes) or N (for no)
Serum separator tube (SST) and EDTA (lavender-top) tube
Refrigerated (cold packs)
See individual tests • Sodium fluoride/oxalate (grey-top) tube • Heparinized plasma
Service Area must be determined
Not offered in Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano. Please provide SERVICE AREA INFORMATION to find available tests you can order.
In-home collection is not available in your area through Quest Mobile.
Test Details

Clinical Significance

Test Resources

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

The CPT codes provided are based on AMA guidance and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

This material contains content from LOINC® (http://loinc.org). The LOINC Table, LOINC Table Core are copyright © 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license.

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