Cholesterol, Total and HDL

Message
Performing Lab: Central Lab, Hudson, Lakeview, Regions, Sartell, Westfields


Test Code
3051


Alias/See Also
Sunquest: CHOLS


CPT Codes
82465, 83718

Includes
Cholesterol Total; HDL; Non-HDL Cholesterol (Calculated)


Preferred Specimen
0.2 mL Lithium Heparin Plasma (light green-top) tube


Minimum Volume
0.1 mL


Other Acceptable Specimens
Serum (gold-top, red-top, red/gray-top), Lithium Heparin (light green-top) on ICE


Instructions
Collection:
Does NOT require a 12-hour fast


Transport Temperature
Refrgerated


Specimen Stability
Room Temperature: Not Recommended
Refrigerated: 3-7 days
Frozen: 3 weeks


Methodology
Colorimetric or Enzymatic (Lakeview)

Setup Schedule
Hospital: Daily
Clinics: Monday - Friday


Report Available
Same day.


Reference Range
Cholesterol, Total: 0 - 199 mg/dL
HDL: > 40 mg/dL


Clinical Significance
Cholesterol is present in tissues and in serum and plasma either as cholesterol or as cholesterol esters bound to proteins. Cholesterol is an essential structural component of cell membranes and the outer layer of plasma lipoproteins and is the precursor of all steroid hormones, including sex and adrenal hormones, bile acids, and vitamin D.

Cholesterol measurements are used to evaluate the risk of developing coronary artery occlusion, atherosclerosis, myocardial infarction, and cerebrovascular disease. Coronary atherosclerosis correlates with a high cholesterol level. Cholesterol concentrations are increased in primary hypercholesterolemia; secondary hyperlipoproteinemia, including nephrotic syndrome; primary biliary cirrhosis; hypothyroidism; and in some cases diabetes mellitus. Low cholesterol concentrations may be found in malnutrition, malabsorption, advanced malignancy, and hyperthyroidism. Serum cholesterol concentration depends on many factors, including age, gender, and diet.

High Density Lipoprotein (HDL) cholesterol is used to evaluate the risk of developing coronary heart disease (CHD). The risk of CHD increases with lower HDL cholesterol concentrations.




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.