Lipid Profile

Test Code

Preferred Specimen

Draw blood in a plain, red-top tube from a fasting patient. Spin specimen down and send 1 mL of serum.

Transport Temperature

Refrigerate

Methodology

Profile Information:
Cholesterol	Low-Density Lipoprotein (LDL) Cholesterol
High-Density Lipoprotein (HDL) Cholesterol	Triglycerides

If triglyceride is >400 mg/dL, a reflexive direct LDL is performed.

Setup Schedule

Monday through Sunday

Reference Range

CHOLESTEROL

Males
0-2 years: 117-176 mg/dL

3-19 years: <170 mg/dL

>19 years: <200 mg/dL

Females

0-2 years: 115-177 mg/dL

3-19 years: <170 mg/dL

>19 years: <200 mg/dL

HDL

Males
5-9 years: 43-76 mg/dL

10-14 years: 41-76 mg/dL

15-19 years: 35-65 mg/dL

>20 years: >35 mg/dL

Females

5-9 years: 39-75 mg/dL

10-14 years: 41-72 mg/dL

15-19 years: 39-76 mg/dL

>20 years: >35 mg/dL

LDL
Desirable: ≤130 mg/dL
Borderline: 130-159 mg/dL

High Risk: ≥160 mg/dL

RISK RATIOS

An interpretive report will be provided.

TRIGLYCERIDES

Males
0-4 years: 30-102 mg/dL

5-9 years: 31-104 mg/dL

10-14 years: 33-129 mg/dL

15-19 years: 38-152 mg/dL

≥20 years: <200 mg/dL

Females

0-4 years: 35-115 mg/dL

5-9 years: 33-108 mg/dL

10-14 years: 38-135 mg/dL

15-19 years: 40-136 mg/dL

≥20 years: <200 mg/dL

Performed By
North Mississippi Medical Center Pathology Department

Performing Laboratory
NMMC Pathology Department

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.