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Lipid Panel, Extended
0020468
Ordering Recommendation
Use to assess cardiovascular disease risk and guide therapy.
Mnemonic
CRISK E
Methodology
Quantitative Spectrophotometry/Quantitative Enzymatic
Performed
Sun-Sat
Reported
Within 24 hours
New York DOH Approval Status
This test is New York DOH approved.
Submit With Order
ARUP Consult®
Disease Topics
Specimen Required
Patient Preparation
Patient must fast for 12-15 hours prior to collection.  
Collect
Serum separator tube or plasma separator tube.  
Specimen Preparation
Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)  
Storage/Transport Temperature
Refrigerated.  
Unacceptable Conditions
Body Fluid (refer to Cholesterol, Fluid, ARUP test code 0020714; Triglycerides, Fluid ARUP test code 0020713; and Chylomicron Screen, Body Fluid, ARUP test code 0098457).  
Remarks
 
Stability
After separation from cells: Ambient: 24 hours; Refrigerated: 5 days; Frozen: 3 months  
Reference Interval
By Report
             

Interpretive Data
An HDL cholesterol less than 40 mg/dL is low and constitutes a coronary heart disease risk factor. An HDL cholesterol greater than 60 mg/dL is a negative risk factor for coronary heart disease.

Non-HDL cholesterol is a secondary target of therapy in persons with high serum triglycerides (greater than 199 mg/dL). The goal for non-HDL cholesterol in persons with high triglycerides is 30 mg/dL higher than their LDL cholesterol goal.

CHD Risk Factors
+1 Age: Men, 45 years and older
Women, 55 years and older or premature menopause without estrogen therapy
+1 Family history of premature CHD
+1 Current smoking
+1 Hypertension
+1 Diabetes mellitus
+1 Low HDLcholesterol: 39 mg/dL or less
-1 High HDLcholesterol: 60 mg/dL or greater


20 years and older
Desirable
Borderline
Higher Risk
Total Cholesterol199 mg/dL or less200-239 mg/dL240 mg/dL or greater
Triglycerides149 mg/dL or less150-199 mg/dL200-499 mg/dL
HDL Cholesterol40 mg/dL or greater 39 mg/dL or less
LDL Cholesterol129 mg/dL or less
(99 mg/dL or less if patient has CHD)
130-159 mg/dL160 mg/dL or greater
AppearanceClear
VLDL Cholesterol (calculated)30 mg/dL or less

0-19 years
Desirable
Borderline
High Risk
Total Cholesterol169 mg/dL or less170-199 mg/dL200 mg/dL or greater
Triglycerides149 mg/dL or less150-199 mg/dL200-499 mg/dL
HDL Cholesterol40 mg/dL or greater 39 mg/dL or less
LDL-Cholesterol (measured)109 mg/dL or less110-129 mg/dL130 mg/dL or greater
AppearanceClear
VLDL Cholesterol (calculated)30 mg/dL or less

Note
LDL-cholesterol is measured (not calculated) on this panel.
CPT Code(s)
80061; 83721
Components
Component Test Code*Component Chart NameLOINC
0020031Cholesterol, Serum or Plasma2093-3
0020040Triglycerides, Serum or Plasma2571-8
0020053HDL Cholesterol2085-9
0020257LDL Cholesterol, Direct2089-1
0020550VLDL, Calculated13458-5
0020705Non-HDL Cholesterol43396-1
0095038Appearance Chemistry11158-3
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.
Aliases
  • Cholesterol, Serum or Plasma
  • Coronary Risk Panel
  • HDL Cholesterol
  • LDL Cholesterol, Direct
  • Lipid Panel
  • Non-HDL Cholesterol
  • Triglycerides, Serum or Plasma
  • VLDL, Calculated