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HelpTest Code LPF Lipid Panel
Methodology
| Profile Information: | |
| Calculated LDL and VLDL | Cholesterol, Total |
| Cholesterol, HDL | Triglycerides |
Performing Laboratory
Munson Healthcare Laboratories
Specimen Requirements
Submit only 1 of the following specimens:
Plasma
Container/Tube: Green-top (heparin) gel tube
Specimen Volume: 1.5 mL of heparinized
plasma
Transport Temperature: Refrigerate
Collection Instructions: Fasting (12-14 hour)
is preferred but not required. Separate plasma from cells within 2
hours of draw. Forward promptly.
Note: 1. Medicare frequency limitations exist for this test in addition to diagnosis requirements. Click on link for list of medically necessary diagnoses: http://www.munsonhealthcare.org/medical-necessity. See Advance Beneficiary Notice of Noncoverage (ABN) form in Special Instructions.
2. Indicate plasma.
3. Label specimen appropriately (plasma).
Serum
Container/Tube: Gold-top serum gel tube
Specimen Volume: 1.5 mL of serum
Transport Temperature: Refrigerate
Collection Instructions: Fasting (12-14 hour)
is preferred but not required. Separate serum from cells within 2
hours of draw. Forward promptly.
Note: 1. Medicare frequency limitations exist for this test in addition to diagnosis requirements. Click on link for list of medically necessary diagnoses: http://www.munsonhealthcare.org/medical-necessity. See Advance Beneficiary Notice of Noncoverage (ABN) form in Special Instructions.
2. Indicate serum.
3. Label specimen appropriately (serum).
Reference Values
The National Cholesterol Education Program (NCEP) has set the
following guidelines (reference values) for cholesterol, total:
If the patient is >19 years old, the following comments will
append to the results:
CHOLESTEROL, TOTAL
Desirable: <200 mg/dL
Borderline high: 200-239 mg/dL
High: ≥240 mg/dL
HDL, CHOLESTEROL
The National Cholesterol Education Program (NCEP) has set the following guidelines (reference values) for cholesterol, HDL:
Low: ≤39 mg/dL
Desirable: 40-59 mg/dL
High: ≥60 mg/dL
TRIGLYCERIDES
0-29 years: 10-140 mg/dL
30-39 years: 10-150 mg/dL
40-49 years: 10-160 mg/dL
50-125 years: 10-190 mg/dL
CALCULATED LDL
The National Cholesterol Education Program (NCEP) has set the following guidelines (reference values) for calculated LDL:
Optimal: <100 mg/dL
Optimal or above optimal: 100-129 mg/dL
Borderline high: 130-159 mg/dL
High: 160-190 mg/dL
Very high: >190 mg/dL
CALCULATED VLDL
The National Cholesterol Education Program (NCEP) guidelines do not address desirable levels of VLDL.
Day(s) Test Set Up
Monday through Sunday
Test Classification and CPT Coding
80061