A B C D E F G H I J K L M N O P Q R S T U V W X Y Z # |
Lipid Panel with Reflex Direct LDL, Plasma or Serum
MessageTest Code
CPT Codes
80061-Lipid panel; 83721-Direct LDL (if appropriate)
Preferred Specimen
Submit only 1 of the following specimens:
Plasma
Container/Tube: Green-top (heparin) tube(s)
Specimen Volume: 3 mL (minimum volume: 0.5 mL) of plasma
Collection Instructions: Fasting (12-14 hour). Patient should be on a stable diet 2 weeks prior to specimen draw and must not consume any alcohol for 24 hours before specimen is drawn.
Note: 1. Indicate plasma. 2. Label specimen appropriately (plasma).
Serum
Container/Tube: Serum gel tube(s)
Specimen Volume: 3 mL (minimum volume: 0.5 mL) of serum
Collection Instructions: Fasting (12-14 hour). Patient should be on a stable diet 2 weeks prior to specimen draw and must not consume any alcohol for 24 hours before specimen is drawn.
Note: 1. Indicate serum. 2. Label specimen appropriately (serum).
Instructions
Transport Temperature
Methodology
Direct Homogeneous High-Density Lipoprotein (HDL) Assay/Enzymatic Cholesterol Oxidase/Enzymatic Triglyceride Includes cholesterol, total; direct LDL cholesterol; HDL cholesterol; and triglycerides.
Setup Schedule
Reference Range
CHOLESTEROL |
|
Cholesterol Level |
Initial Classification |
<200 mg/dL |
Desirable blood cholesterol |
200-239 mg/dL |
Borderline high blood cholesterol |
≥240 mg/dL |
High blood cholesterol |
LDL CHOLESTEROL | |
Calculated using Friedewald Formula: LDLC=Cholesterol, Total-HDLC-(Triglycerides/5) |
|
Risk Category |
LDL Cholesterol Goal |
Coronary heart disease (CHD) or CHD risk equivalents (including diabetes) |
<100 mg/dL |
2+ risk factors |
<130 mg/dL |
0-1 risk factor |
≤160 mg/dL |
Risk Factors | |
1. Cigarette smoking | |
2. Hypertension (BP ≥140/90 mm Hg or on antihypertensive medication) | |
3. Low HDL cholesterol (<40 mg/dL). HDL cholesterol ≥60 mg/dL, counts as a “negative” risk factor; its presence removes 1 risk factor from the total count. | |
4. Family history of premature CHD: (CHD in first-degree male relative <55 years; CHD in first-degree female relative <65 years). | |
5. Age
Males: ≥ 45 years |
HDL CHOLESTEROL
≥40 mg/dL
TRIGLYCERIDES
Normal: <150 mg/dL
Borderline High: 150-199 mg/dL
High: 200-499 mg/dL
Very High: ≥500 mg/dL
Clinical Significance
Performed By
CoxHealth