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23145 NMR Lipoprotein Quant 123638

NMR Lipoprotein Quant 123638
Test Code: NMRLISO
Synonyms/Keywords
​NMR, Small dense LDL, HDL-C
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).

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
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 2ºC to 8ºC) and centrifuged within 24 hours of collection.  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
Interference

​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.

Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
LabCorp of America ​Monday-Friday ​1-3 days ​Nuclear Magnetic Resonance (NMR)
Reference Lab
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.

Reference Range Information
Performing Location Reference Range
​LabCorp of America Refer to provided report.
Interpretation
​Interpretive report
Outreach CPTs
CPT Modifier
(if needed)
Quantity Description Comments
​83704
Synonyms/Keywords
​NMR, Small dense LDL, HDL-C
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).

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
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
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

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 2ºC to 8ºC) and centrifuged within 24 hours of collection.  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
Interference

​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.

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
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).

Reference Range Information
Performing Location Reference Range
​LabCorp of America Refer to provided report.
Interpretation
​Interpretive report
For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
LabCorp of America ​Monday-Friday ​1-3 days ​Nuclear Magnetic Resonance (NMR)
Reference Lab
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)
Quantity Description Comments
​83704
For most current information refer to the Marshfield Laboratory online reference manual.