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Test Code LAB18 Lipid Panel

Performing Laboratory

Barnes-Jewish Hospital Laboratory

Methodology

Profile Information:
non-HDL Cholesterol (Calculated) HDL-Cholesterol (High-Density Lipoprotein)
Cholesterol, LDL (Calculated) Triglycerides
Cholesterol, Total Cholesterol/HDL Ratio
Reflex Tests:
LDL-Cholesterol (Low-Density Lipoprotein), Direct  

 

Method Name:
See individual test listings.
Testing Algorithm:

If the triglyceride value is ≥400 mg/dL, LAB102 LDL-Cholesterol (Low-Density Lipoprotein), Direct will be performed at an additional charge.

Specimen Requirements

Patient Preparation:

1. Patient should be fasting (12 to 14 hour, overnight) as triglycerides are affected by recent dietary intake.

2. Patient should be following ordinary eating habits and should not be acutely ill, losing weight, pregnant, or had a myocardial infarction within the last 3 months.

 

Specimen Type: Plasma

Container/Tube: Mint-green top (lithium heparin)
Specimen Volume: Full tube

 

Day(s) Test Set Up

Monday through Sunday
Turnaround Time:
STAT: 1 hour after receipt in laboratory
Routine: 2 to 4 hours after receipt in laboratory

Test Classification and CPT Coding

80061-Lipid panel
83721-Direct LDL (if appropriate)

Reference Values

Chol

Ages ≤ 19 years
  Acceptable: < 170 mg/dL 
  Borderline high:  170-199 mg/dL
  High: ≥ 200 mg/dL


Ages ≥ 20 years
  Desirable: < 200 mg/dL 
  Borderline high: 200-239 mg/dL
  High: ≥ 240 mg/dL

 

Trig

Ages ≤ 9 years
  Acceptable: < 75 mg/dL 
  Borderline high: 75-99 mg/dL
  High: ≥ 100 mg/dL


Ages 10 to 20 years
  Acceptable:       < 90 mg/dL 
  Borderline high:  90-129 mg/dL
  High:             ≥ 130 mg/dL


Ages ≥ 20 years
  Desirable: < 150 mg/dL
  Borderline high: 150-199 mg/dL
  High: 200-499 mg/dL   
  Very high: ≥ 499 mg/dL

 

HDL

Ages ≤ 19 years
  Acceptable:       > 45 mg/dL
  Borderline low:   40-45 mg/dL
  Low:                 < 40 mg/dL 


Ages ≥ 20 years
  Desirable:        ≥ 60 mg/dL 
  Low:                 < 40 mg/dL

 

LDL, Cholesterol (Calculated)

Ages ≤19 years

  Acceptable:       < 110 mg/dL

  Borderline high:  110-129 mg/dL

  High:         ≥ 130 mg/dL

 

Ages ≥ 20 years

  Optimal:           < 100 mg/dL

  Near optimal:      100-129 mg/dL

  Borderline high:   130-159 mg/dL

  High:              > 160 mg/dL

 

Non-HDL Chol (Calculated)

Ages ≤ 19 years

  Acceptable:                < 120 mg/dL

  Borderline high:         120-144 mg/dL

  High:                           > 145 mg/dL

 

Ages ≥ 20 years

  When triglycerides are > 200 mg/dL, Non-HDL cholesterol is a secondary target of therapy with treatment goals that are 30 mg/dL greater than the LDL cholesterol target. 

 

Chol/HDL Ratio

No Established Reference Intervals

Specimen Transport Temperature

Ambient

Additional Information

For BJH Laboratory Use Only
Alternate Tube:

1 dark green-top (lithium heparin) tube

1 red-top tube

 

Laboratory Processing Instructions:

Test performed in BJH Core Lab.  Processed by automated line for delivery to the Cobas 8000. Completed specimens are stored refrigerated for 5 days. 

Test performed in Ambulatory Cancer Building Lab.  Centrifuge sample and deliver to the Cobas.  Completed specimens are stored refrigerated for 5 days. 

Special Instructions

See Analyte Stability Chart under General Information for a complete list.

LOINC Code Information

Name LOINC Code
Cholesterol, LDL (Calculated) 13457-7
Cholesterol, Total 2093-3
HDL-Cholesterol 2085-9
non-HDL Cholesterol (Calculated) 43396-1
Triglycerides 2571-8