CHOLESTEROL LDL PANEL

Message
CHEMISTRY


Test Code
CHOL LDLC


Alias/See Also
LIPID PANEL


Includes
CHOL, TRIG, LDL, HDL - LDL CALCULATED reflexed to DIRECT LDL


Preferred Specimen
PLASMA


Minimum Volume
2 MLS


Other Acceptable Specimens
SERUM, GOLD TOP SST TUBE


Instructions
FASTING SAMPLE IS PREFERED, BUT IS UP TO DOCTOR OR PATIENT: Draw 1 Lt Green tube, lithium heparin tube-plasma, spin and separate plasma.


Transport Container
ORIGINAL TUBE


Transport Temperature
REFRIGERATED


Specimen Stability
Room temperature: 7 days
Refrigerated (2-8°C): 7 days
Frozen (-20°C or colder): 3 months


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Unlabeled sample, improper temperature during transport. Wrong sample collection.


Methodology
Enzymatic

Setup Schedule
DAILY


Report Available
DAILY


Reference Range
Test Reference range Units Interpretation
Cholesterol 0 - 199 mg/dL
<200 is desirable; 200-239 is borderline/high; >240 is high

Triglyceride 0 - 149 mg/dL
HDL 40 - 60 mg/dl
LDL Calculated or Direct 0 - 129 mg/dL
Evaluation of cardiovascular risk is based on the following range of values:
Desirable: <100 mg/dL
Low risk: 100-129 mg/dL
Borderline high: 130-159 mg/dL
High: 160-189 mg/dL
Very high: > or =190 mg/dL

Reference: Executive Summary of the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III), JAMA 2001;285:2486-2497


Clinical Significance
In a standard lipid panel, the LDL value is calculated based on the concentrations of total cholesterol, HDL cholesterol, and triglycerides. At triglyceride concentrations above 300 mg/dL, the calculated LDL is inaccurate. In such cases, it is appropriate to measure LDL directly.


Performing Laboratory
WHITE RIVER JUNCTION VT VA- CHEMISTRY 802-295-9363 EXT: 5518, 5519



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.