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triglyceride, serum/plasma
Computer Code: TRIG ( )
Specimen Collection: 2 mL blood (red, gold, or green top tube).
Pediatrics: 0.5 mL blood (green or red microtainer). Fasting required. 
Minimum Volume: 0.5 mL 
Handling Instructions for Offsite Areas: Allow to clot, centrifuge for 20 minutes, refrigerate. Serum must be removed from red top tubes. 
Reference Values: Normal: <150 MG/DL Borderline High: 150-199 MG/DL High: 200-499 MG/DL Very High: >499 MG/DL  
Lab Code: CC 
Requisition: C/H
Test Frequency: Daily 
Routine TAT: 2 hr 
Stat TAT: 60 min 
CPT Code(s): 84478 
LCD or NCD: (NCD) http://www.cms.hhs.gov/mcd/index_section.asp?ncd_sections=40 
Methodology Used: 68
See Addendum XVII

Albany Medical Center
43 New Scotland Avenue
Albany, NY, 12208
Date: 05/24/2016
Time: 17:35:49 (24hr)