Lipid Panel, Extended
Ordering Recommendation
Use to assess cardiovascular disease risk and guide therapy.
New York DOH Approval Status
Specimen Required
Patient must fast for 12-15 hours prior to collection.
Serum separator tube or plasma separator tube.
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)
Refrigerated.
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).
After separation from cells: Ambient: 8 hours; Refrigerated: 5 days; Frozen: 3 months
Methodology
Quantitative Spectrophotometry/Quantitative Enzymatic Assay
Performed
Sun-Sat
Reported
Within 24 hours
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
+1 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 HDL cholesterol: 39 mg/dL or less
-1 High HDL cholesterol: 60 mg/dL or greater
20 years and older |
Desirable |
Borderline |
Higher Risk |
---|---|---|---|
Total Cholesterol | 199 mg/dL or less | 200-239 mg/dL | 240 mg/dL or greater |
Triglycerides | 149 mg/dL or less | 150-199 mg/dL | 200-499 mg/dL |
HDL Cholesterol | 40 mg/dL or greater | 39 mg/dL or less | |
LDL Cholesterol | 129 mg/dL or less (99 mg/dL or less if patient has CHD) |
130-159 mg/dL | 160 mg/dL or greater |
VLDL Cholesterol (calculated) | 30 mg/dL or less |
0-19 years |
Desirable |
Borderline |
High Risk |
---|---|---|---|
Total Cholesterol | 169 mg/dL or less | 170-199 mg/dL | 200 mg/dL or greater |
Triglycerides | 149 mg/dL or less | 150-199 mg/dL | 200-499 mg/dL |
HDL Cholesterol | 40 mg/dL or greater | 39 mg/dL or less | |
LDL-Cholesterol (measured) | 109 mg/dL or less | 110-129 mg/dL | 130 mg/dL or greater |
VLDL Cholesterol (calculated) | 30 mg/dL or less |
FDA
Note
LDL-cholesterol is measured (not calculated) on this panel.
Hotline History
Hotline History
CPT Codes
80061; 83721
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
0020031 | Cholesterol, Serum or Plasma | 2093-3 |
0020040 | Triglycerides, Serum or Plasma | 2571-8 |
0020053 | HDL Cholesterol | 2085-9 |
0020257 | LDL Cholesterol, Direct | 18262-6 |
0020550 | VLDL, Calculated | 13458-5 |
0020705 | Non-HDL Cholesterol | 43396-1 |
Aliases
- Cholesterol, Serum or Plasma
- Coronary Risk Panel
- HDL Cholesterol
- LDL Cholesterol, Direct
- Lipid Panel
- Non-HDL Cholesterol
- Triglycerides, Serum or Plasma
- VLDL, Calculated