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Epic Code LAB2111122 Lipid Panel, reflex LDL Cholesterol Direct if Triglycerides >800

Test Name Alias

Lipid Panel LDLD If Ind | 8268

 

Interface Order Alias

11246

Specimen Requirements

Specimen Collection: Blood

 

Container(s): 4.5 mL Mint Green Top (Lithium Heparin Gel) or 5.0 mL Gold Top (Serum Separator-SST Gel)

Preferred Volume to Collect: 4.5 mL

Minimum Volume to Collect: 1.0 mL

Neonate Volume to Collect: 0.5 mL

Capillary collect ok? Yes

Microtainer acceptable: Yes

 

Collection Instructions:

  • Fasting specimen preferred but not required.
  • After collection, gently invert tube 8-10 times.
  • Specimen should be processed within 2 hours – See Processing Instructions.

 

Processing Instructions (Laboratory, Outpatient or Off-site collection)

Processed Specimen: Plasma or Serum

Centrifuge/Spin: Yes

Aliquot: Yes

Processing Instructions:

  • Plasma is preferred specimen type
  • Green Tube/Plasma: Centrifuge after collection.
  • Gold Tube/Serum: Allow blood to clot for 30 minutes in a vertical position and centrifuge within 2 hours.
  • Minimum plasma/serum volume: 0.5 mL

Transport Temperature: Refrigerated

 

Specimen Stability

Ambient: 12 hours

Refrigerate: 72 hours

Frozen: aliquot plasma/serum for longer storage

Laboratory Retention: 72 hours

 

Reflex Information

Reflex Available.

Test Frequency

Available daily, usual TAT 1 day

Reference Range

Cholesterol Total

 

18 years and older

  • Optimal: 0 – 199 mg/dL
  • Borderline: 200 – 239 mg/dL
  • High CHD Risk: >239 mg/dL

 

Less than 18 years:

  • Acceptable: <170 mg/dL
  • Borderline: 170-199 mg/dL
  • Abnormal: ≥ 200 mg/dL

 

HDL Cholesterol

18 years and up

  • Optimal: >59 mg/dL
  • High CHD Risk: <40 mg/dL

Less than 18 years:

  • Acceptable: >45 mg/dL
  • Borderline: 40-45 mg/dL
  • Abnormal: <40 mg/dL
LDL Cholesterol (calculated)

18 years and older

  • Optimal: <100
  • Near Optimal: 100-129
  • Borderline: 130-159
  • High CHD Risk: 160-189
  • Very High CHD Risk: >189

 

Less than 18 years:

  • Acceptable: <110  mg/dL
  • Borderline: 110-129  mg/dL
  • Abnormal:   ≥ 130 mg/dL

 

LDL (calc) is invalid if the Triglycerides are greater than 800 mg/dL. In this situation, a direct LDL cholesterol measurement is recommended. . – 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).

Triglycerides

19 Years and Up: 

  • Optimal:  <150 mg/dL
  • Borderline: 150 – 199 mg/dL
  • High CHD Risk: 200 – 500 mg/dL
  • Very High CHD risk: >500 mg/dL

10 years up to 19 years

  • Acceptable: <90 mg/dL
  • Borderline: 90-129 mg/dL
  • Abnormal:   ≥ 130  mg/dL

Less than 9 years

  • Acceptable: <75  mg/dL
  • Borderline: 75-99 mg/dL
  • Abnormal:   ≥ 100 mg/dL 

Performing Department

Chemistry

Performing Department Laboratory Location

Corewell Health Reference Laboratory, Grand Rapids, MI
Corewell Health Big Rapids Laboratory, Big Rapids, MI
Corewell Health Gerber Laboratory, Fremont, MI
Corewell Health Kelsey Laboratory, Lakeview, MI
Corewell Health Ludington Laboratory, Ludington, MI
Corewell Health Pennock Laboratory, Hastings, MI
Corewell Health Reed City Laboratory, Reed City, MI
Corewell Health Greenville Laboratory, Greenville, MI
Corewell Health Zeeland Laboratory, Zeeland, MI
Corewell Health Lakeland St. Joseph Laboratory, St. Joseph, MI

Methodology

See individual analytes for methodology (see related tests below).

CPT

80061

CDM Code

3008006101

Epic Test ID

1230100890

LOINC

Cholesterol: 2093-3

HDL Chol: 2085-9

LDL Chol (calc): 13457-7

Triglyceride: 2571-8

Non HDL Chol: 43396-1

LDL Addon: N/A

Reviewed Date

3/7/2024

Updated Date

3/1/2024 - Reference Range and Name