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Test Code LAB18 Lipid Panel

Reporting Title

Lipid Panel

Methodology

Profile Information:
Unit Codes Published Name Available Separately
     
45258 Cholesterol, HDL Yes
  Cholesterol/HDL Ratio No
45257 Cholesterol, Total Yes
  LDL Calculated No
45259 LDL Cholesterol (LDLC), Direct Measurement Yes
46606 Triglycerides Yes

 

Includes Non-HDL Cholesterol

Testing Algorithm:

If triglyceride is >400 mg/dL, LDL calculated is not valid and direct measurement LDLC will be ordered at an additional charge.

Note:  Centers for Medicare & Medicaid Services (CMS)/American Medical Association (AMA)-approved panel for 2004.

Performing Laboratory

OhioHealth Laboratory Services-RMH, GMC,DH, MGH, MH, SH Core Laboratories

Specimen Requirements

Collection Instructions:

1. Serum and Plasma gel tubes should be centrifuged within 2 hours of collection.

2. Red-top tubes should be centrifuged and aliquoted within 2 hours of collection.

 

Submit only 1 of the following specimens:

 

Preferred:

Serum

Draw blood in a gold-top serum gel tube(s) following an overnight (12-14 hour) fast. Spin down and send 1.5 mL of serum refrigerated.
Note:

1. A speckled-top serum gel tube (s) or a plain, red-top tube(s) is also acceptable.

2. Indicate serum on request form.

3. Label specimen appropriately (serum).

 

Alternate: 

Plasma

Draw blood in a mint green-top (heparin) gel tube(s) following an overnight (12-14 hour) fast. Spin down and send 1.5 mL of heparinized plasma refrigerated.

Note:  1. Indicate plasma on request form.

2. Label specimen appropriately (plasma).

 

Sample Stability Information:

Stable 7 days refrigerated

Specimen Transport Temperature

Refrigerate/Ambient OK/Frozen OK

Reference Values

The National Cholesterol Education Program (NCEP) recommendations:

Test  Reference Values
  Non-HDL Cholesterol

0-17y
Acceptable:       <120 mg/dL
Borderline high: 120-144 mg/dL
High:                 ≥ 145 mg/dL

 

>18 y

Desirable :            <130 mg/dL

Borderline High:   130-159 mg/dL

High:                     160-189 mg/dL

Very High:             ≥ 190 mg/dL   
Cholesterol, Total 

National Cholesterol Education Program (NCEP) guidelines

0-17 y
Acceptable: <170 mg/dL
Borderline high: 170-199 mg/dL
High: ≥ 200 mg/dL   

 

>18 y

Acceptable: 100-199 mg/dL

Borderline high:  200-239 mg/dL

High:  ≥240 mg/dL

Desirable:  <200 mg/dL

Borderline high:  200-239 mg/dL

High:  ≥240 mg/dL
Triglycerides

National Cholesterol Education Program (NCEP) guidelines

0-9 y                  25-75mg/dL
Acceptable:      <75 mg/dL
Borderline high: 75-99 mg/dL
High:                 >or= 100 mg/dL

 

10-17 y            25-90 mg/dL
Acceptable:      <90 mg/dL
Borderline high: 90-129 mg/dL
High:                 ≥ 130 mg/dL

 

>18 y                 30-150 mg/dL

Normal              < 150 mg/dL

Borderline high: 150-199

High:                  200-499

Very high:           >500

 
HDL Cholesterol

National Cholesterol Education Program (NCEP) guidelines

0-17 y
Low HDL: <40 mg/dL
Borderline low: 40-45 mg/dL
Acceptable: >45 mg/dL

 

> 18 y

Low:               <40 mg/dL

Near optimal:  40-59 mg/dL

Optimal:          ≥60 mg/dL

Note:  Abnormal liver function affects lipid metabolism.

 
LDL Cholesterol

0-17 y                10-110 mg/dL
Acceptable:     < 110       mg/dL
Borderline high: 110-129 mg/dL
High:                 > or= 130 mg/dL

 

>18 y

Optimal:             < 100      mg/dL

Near optimal:      100-129 mg/dL

Borderline high:  130-159 mg/dL

High:                   160-189 mg/dL

Very high:            ≥190 mg/dL

 

 

Day(s) Test Set Up

Monday through Sunday; Continuously

 

Test Classification and CPT Coding

80061 - panel

83721 - LDLC, direct measurement (if appropriate)

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