Lipid Panel, Extended
Ordering Recommendation
Use to assess cardiovascular disease risk and guide therapy.
New York DOH Approval Status
Specimen Required
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