Cholestech LDX® Cholesterol Analyzer Test
Contents
1. numbers are within the acceptable range printed on the Optics Check Cassette Record the results on the Optics Check Log If the numbers are outside the range the Analyzer will be temporarily disabled until another optics check is run that falls within range The Optics Check Cassette is used to check the optical system of the Analyzer Run the Optics Check Cassette once each day before patient samples are tested and after the Cholestech LDX has been moved or serviced 2 Configuration Menu Before starting to test press and hold STOP to enter the Configuration Menu and select options for language units sample type printer risk assessment date and time The DATA button allows you to select choices for each of the menu items in the Configuration Menu The RUN button enters your choices and advances you to the next menu item G Running Controls Cholestech Level 1 and 2 Controls Controls must be run following manufacturer s recommendations Controls must be at room temperature before testing Verify that the lot number on the control vial and the assay sheet are the same Mix each vial by gently inverting 7 8 times immediately before use Store controls in the refrigerator when not in use Testing QC Material Use the MiniPet Pipette and tips to measure and dispense the control sample into the cassette Place the cassette in the ad drawer immediately and press RUN Record2. depending on the test cassette to view remaining results This reference guide provides a brief summary of the testing procedure For more information see the test cassette product inserts the Cholestech LDX System User Manual or the Cholestech LDX System Training Video Collect the Sample 4 Squeeze the finger gently again until a large drop of blood forms Hold the capillary tube horizontally by the end with the plunger Touch it to the drop of blood without touching the skin Fill the capillary tube within 10 seconds Do not allow any bubbles to enter the capillary tube Begin the Test 7 Press RUN The drawer will close When the test is finished the Analyzer will beep and the drawer will open Put everything that touched the blood sample into a biohazardous waste container Q Print the Results The results will print when the test is finished Rev 03 18 10 CLIA waved Inc 11578 Sorrento Valley Road Suite 25 26 San Diego CA92121 TeL 858 481 5031 Fax 801 720 7568 TOLL FREE 888 882 7739 E MAIL info cliawaived com
3. information is the Center for Medicare and Medicaid Services The content provided by the Center for Medicare and Medicaid Services is updated frequently It is the responsibility of the service provider to confirm the appropriate coding required by their local Medicare carriers fiscal intermediaries and commercial payors All product information and prices are subject to change without notice at any time Please call our office before ordering to verify current prices CLIA maed Inc 11578 Sorrento Valley Road Suite 25 26 San Diego CA 92121 TeL 858 481 5031 Fax 801 720 7568 TOLL FREE 888 882 7739 E MAIL info cliawaived com Cholestech LDX Cholesterol Analyzer Test Setup Instructions Setup Take the time to examine and familiarize yourself with the contents of the Cholestech LDX System Connecting the Cholestech LDX to the Printer Plug the printer power supply Plug the power supply into the Cholestech LDX and the wall power strip Connect the end of or power strip Insert the end of the white printer cable labeled To Cholestech LDX into the printer and the wall or the printer cable labeled To Printer to the printer into the Analyzer 3 Optics Check Run the Optics Check Cassette Press the RUN button The drawer will open Place the Optics Check Cassette into the cassette drawer Press the RUN button again to close the drawer Record Results Check to see that the four
4. Cholestech LDX eg TES Cholesterol Analyzer Test CLA waived inc The Cholestech LDX Cholesterol Analyzer Test combines enzymatic methodology and solid phase technology to measure total cholesterol HDL cholesterol triglycerides and glucose Samples used for testing can be whole blood from a finger stick collected in a lithium heparin coated capillary tube or venipuncture The sample is applied to a Cholestech LDX cassette For professional in vitro diagnostic use only BENEFITS Easy to use fast amp reliable results Results in 5 minutes Single use disposable cassettes Room temperature storage for 30 days FDA Cleared CLIA Waived Note The High Sensitivity C Reactive Protein Tests are Moderately Complex and are not CLIA Waived Ordering Information Product Description Catalog Cholestech LDX Analyzer System I system CTH 10 959 Cholestech Total Cholesterol Cassette 10 cassettes CTH 10 986 Cholestech TC HDL Tests 10 cassettes CTH 10 987 Cholestech TC GLU Tests 10 cassettes CTH 10 988 Cholestech TC HDL GLU Tests 10 cassettes CTH 10 990 Cholestech Lipid Profile GLU 10 cassettes CTH 10 99 Cholestech Lipid Profile Tests 10 cassettes CTH 10 989 Cholestech Thermal Label Printer 1 printer CTH 1 1 781 Cholestech Thermal Printer Labels I roll CTH 1 1 785 Cholestech LDX ALT AST Tests 10 cassettes CTH 12 788 High Sensitivity C Reactive P
5. ethod 6 08 837 18QW HDL Cholesterol waived method 11 44 Total Cholesterol and Glucose 82465QW Total Cholesterol waived method 6 08 82947QW Glucose quantitative waived procedure 5 48 Total Cholesterol 82465QW Total Cholesterol waived method 6 08 Glucose 82947QW Glucose quantitative 5 48 82950QW Glucose Post Dose includes glucose 6 64 8295 QW Glucose Tolerance Test 3 tests 17 99 82952QW Glucose Tolerance Test each additional test beyond 3 tests 3 50 DISCLAIMER The CPT information contained in this document is provided as representative examples of reimbursement in this category It is intended to assist providers in accurately obtaining reimbursement for health care services It is not intended to increase or maximize reimbursement by any payor Providers should consult their payor organizations with regard to local reimbursement policies The information provided in this document is for information purposes only and represents no statement promise or guarantee by CLIAwaived Inc All CPT codes are supplied for information purposes only and represent no statement promise or guarantee by CLIAwaived Inc that these codes will be appropriate or that reimbursement will be made CPT codes and descriptions are copyrights of the American Medical Associations CPT does not include fee schedules relative values or related ratings The source for this
6. results Mie i on the Quality Control Log Results must be within established ranges before patient samples can be tested CLIA waved Inc 11578 Sorrento Valley Road Suite 25 26 San Diego CA 92121 TeL 858 481 5031 Fax 801 720 7568 TOLL FREE 888 882 7739 E MAIL info cliawaived com Cholestech LDX Cholesterol Analyzer Test Procedure Instructions lest Procedure 1 Open the Drawer Press the RUN button on the Analyzer The cassette drawer will open and the screen will display mtd PR PP CES 0 PRLUPM s 4 Dispense the Sample Place the end of the capillary tube into the sample well and dispense the sample by pushing down on the plunger Keep the cassette level after the sample has been applied 6 Begin the Test Press RUN The drawer will close When the test is finished the Analyzer will beep and the drawer will open Put everything that touched the blood sample into a biohazardous waste container 2 Perform a Fingerstick 3 After cleaning the selected site with alcohol and drying it thoroughly firmly prick the site with a lancet Gently squeeze the finger to obtain a large drop of blood Wipe off the first large drop of blood 66 F insert the Cassette Immediately place the cassette into the Analyzer drawer with the black reaction bar toward the Analyzer and the brown magnetic stripe on the right J View the Results a Press the DATA button on the Analyzer once or twice
7. rotein Tests 10 tests Moderately Complex CTH 1 2 807 Cholestech ROM Upgrade Kit I kit CTH 13 184 CLIA waived Inc 11578 Sorrento Valley Road Suite 25 26 San Diego CA 92121 teL 858 481 5031 Fax 801 720 7568 TOLL FREE 888 882 7739 E MAIL info cliawaived com CPT Code Reimbursement Information Reimbursement Information CPT Code National Limit Amount Lipid Profile waived procedure Total Cholesterol HDL Cholesterol and Triglycerides Option A 8006 I QW Lipid Panel waived procedure 18 72 Option B 82465QW Total Cholesterol waived method 6 08 837 18QW HDL Cholesterol waived method 11 44 84478QW Triglycerides waived method 8 04 Lipid Profile and Glucose waived procedure Total Cholesterol HDL Cholesterol Triglycerides and Glucose Option A 80061 QW Lipid Panel waived procedure 18 72 82947QW Glucose quantitative waived procedure 5 48 Option B 82465QW Total Cholesterol waived method 6 08 837 18QW HDL Cholesterol waived method 11 44 84478QW Triglycerides waived method 8 04 82947QW Glucose quantitative waived procedure 5 48 Total Cholesterol HDL Cholesterol and Triglycerides 82465QW Total Cholesterol waived method 6 64 83718QW HDL Cholesterol waived method 11 44 82947QW Glucose quantitative waived procedure 5 48 Total Cholesterol HDL Cholesterol 82465QW Total Cholesterol waived m
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