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 |