Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Test Name: Sunquest Test Code Epic Procedure Code Or ID CPT Code:  

LIPID PANEL WITH DIRECT LDL IF TRIGLYCERIDE IS ELEVATED

ORDERING INFORMATION:
Sunquest Test Code:
LIPOR      Geisinger Epic Procedure Code: 80061.01         Geisinger Epic ID: 39060

SPECIMEN COLLECTION
Specimen type:
Plasma or serum
Preferred collection container:
Alternate Collection Container:
Stat/Line draws: 3 mL green/yellow-top (plasma separator) tube
Specimen required:
2 mL of serum or plasma; minimum 0.2 mL.
Special notes:
Record hours fasting on request slip.
Patient preparation:
Fasting for 8 hours is recommended but not required.

SPECIMEN PROCESSING
Specimen processing instructions:
Plasma: Centrifuge at 1100-2000 g for a minimum of 10 minutes.
Serum: Allow to clot. Centrifuge at 1100-2000 g for a minimum of 10 minutes. 
Transport temperature:
Refrigerated.
Specimen stability:
See individual member listing.
Rejection criteria:
See individual member listing.

TEST DETAILS
Interpretation guide:
Cholesterol
  <18 yrs old:  
  <170 mg/dL Acceptable
  170-199 mg/dL Borderline High
  >= 200 mg/dL High
  Adult:  
  <200 mg/dL Desirable
  200-239 mg/dL Borderline high
  >=240 mg/dL High
HDL Cholesterol
  <18 years old:  
  > 45 mg/dL High (Desirable)
  40-45 mg/dL Borderline
  < 40 mg/dL Low (Undesirable)
  Adult:  
  >= 60 mg/dL High (Desirable)
  < 50 mg/dL Low (Undesirable) for female
  < 40 mg/dL Low (Undesirable) for male
LDL Cholesterol
  <18 years old:  
  <70 mg/dL Target level for high-risk ASCVD patient
  < 110 mg/dL Optimal for general population
  110-129 mg/dL Borderline high
  > = 130 mg/dL High
  Adult:  
  <70 mg/dL Target level for high-risk ASCVD patient
  <100 mg/dL Optimal for general population
  100-129 mg/dL Near optimal for general population
  130-159 mg/dL Borderline high
  160-189 mg/dL High
  > =190 mg/dL Very high
Non-HDL cholesterol  
  <100 mg/dL Target level for high-risk ASCVD patient
  <130 mg/dL Optimal for general population
  130-159 mg/dL Near optimal for general population
  160-189 mg/dL Borderline high
  190-219 mg/dL High
  >=220 mg/dL Very high
Triglyceride
  <10 years old:  
  <75 mg/dL Acceptable
  75-99 mg/dL Borderline high
  >=100 mg/dL High
  10 - 18 years old:  
  <90 mg/dL Acceptable
  90-129 mg/dL Borderline high
  >=130 mg/dL High
  = 19 years old:  
  <150 mg/dL Acceptable
  150-174 mg/dL Borderline high
  175-499 mg/dL High
  >=500 mg/dL Very High
CPT code(s):
80061, 84478, 82465, 83718
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.  The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.
Test includes:
Cholesterol, Triglycerides, HDL Cholesterol, Non-HDL Cholesterol (calculated) and LDL Cholesterol (calculated or direct)

Direct LDL Cholesterol is reflexively ordered when:
Triglyceride is >400 mg/dL; or
Triglyceride is between 150 and 399 mg/dL with calculated LDL cholesterol <70 mg/dL; or
Triglyceride is between 200 and 399 mg/dL with calculated LDL cholesterol between 70 and 99 mg/dL
Methodology:
Spectrophotometric (Colorimetric)
Synonyms:
Lipoproteins, lipid profile, lipoprotein panel, FLP, LIPID PANEL WITH DIRECT LDL IF TG IS HIGH
Clinical significance:
See individual member listings.
Doctoral Director(s:)
Hoi-Ying Elsie Yu, PhD, DABCC
Sheng-Ying (Margaret) Lo, PhD, DABCC    
Review Date: 09/10/2019

Performing Locations

Geisinger Medical Center

Performing laboratory: Automated Chemistry
Technical Lead: Mariana Moyer, Jared Shepherd
Frequency: Daily, Monday-Sunday
Performed stat? No
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