3005996
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Triglycerides Body Fluid with Reflex to Chylomicron Electrophoresis

CHYLO RFLX

Ordering Recommendation

Refer to aruplab.com/bodyfluids for clinical indications and interpretive information.

Methodology

Quantitative Enzymatic Assay/Electrophoresis

Performed

Varies

Reported

1-8 days
Reflex: 1-8 days

New York DOH Approval Status

This test is New York DOH approved.

Specimen Required

Patient Preparation
Collect

Drain, pericardial, peritoneal/ascites, or pleural fluid.

Specimen Preparation

Transfer 1 mL body fluid to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Storage/Transport Temperature

Refrigerated.

Unacceptable Conditions

Specimen types other than those listed. Specimens too viscous to be aspirated by instrument.

Remarks

Specimen source must be provided.

Stability

Ambient: 48 hours; Refrigerated: 1 week; Frozen: 3 months

Reference Interval

Interpretive Data

For information on body fluid reference ranges and/or interpretive guidance visit https://aruplab.com/bodyfluids/

This test was developed and its performance characteristics determined by ARUP Laboratories. It has not been cleared or approved by the U.S. Food and Drug Administration. This test was performed in a CLIA-certified laboratory and is intended for clinical purposes. 

Compliance Category

Laboratory Developed Test (LDT)

Note

If Triglyceride concentration is 25-200 mg/dL, then Chylomicron Electrophoresis testing will be added. Additional charges apply.

Hotline History

View Hotline History

 

Hotline History

Date of Change
Test Name Change
Methodology
Performance/Reported Schedule
Specimen Requirements
Reference Interval
Interpretive Data
Note
CPT Code
Component Change
Other Interface Change
New Test
Inactive
08/21/2023
X
02/21/2023
X
N/A

CPT Codes

84478; if reflexed, add 82664

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Components

Component Test Code* Component Chart Name LOINC
0020713 Triglycerides, Fluid 12228-3
0098457 Chylomicron Screen, Body Fluid 33009-2
2013066 Triglycerides Fluid Source 31208-2
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.

Aliases

Triglycerides Body Fluid with Reflex to Chylomicron Electrophoresis