MICHIGAN INNOVATIVE DIAGNOSTICS

Routine panel that evaluates an individual's cardiovascular risk by measuring total cholesterol, triglycerides, HDL, and LDL levels.

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LIS PANEL CODE: (MID) Lipid Panel (LP)

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INDIVIDUAL LIS TEST CODES INCLUDED WITHIN PANEL: CHOL, HDL, DLDL, TRIG

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CPT CODE: 80061

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ALIASES: Lipid Profile, Cholesterol Panel, Lipid Panel with Direct LDL

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METHODOLOGIES: Spectrophotometry

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SPECIMEN:

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- Type: Serum

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- Container: Gold Top (SST) Vacutainer

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- Minimum Volume Required: 1 mL

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- Storage/Handling: Allow 30 minutes for blood to clot, then centrifuge specimen at 3500 RPM for 10 minutes. Maintain specimen in the refrigerator or in the freezer until testing can be performed.

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- Stability:   

 

Room Temperature (20-25 °C): Not Accepted

Refrigerated (2-8 °C): 5 days

Frozen (-20 °C or colder): 3 months; avoid multiple freeze/thaw cycles.

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- Turnaround Time: 24 hours from receipt.

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Special Instructions: N/A

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REJECTION REASONS: QNS, Gross Hemolysis, Gross Lipemia, Contamination, Stability Violation, Expired Container, Incorrect Container

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REFERENCE RANGES:​​ 

 

Cholesterol, Total (CHOL):

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Males & Females (mg/dL)

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2 - 17 years of age: < 170

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The Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents has set the following guidelines for lipids in a context of cardiovascular disease for children 2 to 17 years of age:

 

TOTAL CHOLESTEROL

Acceptable: < 170 mg/dL

Borderline High: 170 - 199 mg/dL

High: >= 200 mg/dL

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>= 18 years of age: < 200

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The National Lipid Association and the National Cholesterol Education Program have set the following guidelines for lipids in a context of cardiovascular disease for adults 18 years old and older:

 

TOTAL CHOLESTEROL

Desirable: < 200 mg/dL

Borderline High: 200 - 239 mg/dL

High: >= 240 mg/dL

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High-Density Lipoprotein (HDL, Measured):

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Males (mg/dL)

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>= 2 years of age: >= 40

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Females (mg/dL)

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2 - 17 years of age: >= 40

>= 18 years of age: >= 50​​

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Low-Density Lipoprotein (LDL, Measured):

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Males & Females (mg/dL)

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1 - 19 years of age: < 110

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Desirable: 109 mg/dL or less
Borderline: 110 - 129 mg/dL
Higher risk: 130 mg/dL or greater

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​>=20 years of age: < 130

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Desirable: 129 mg/dL or less (99 mg/dL or less if patient has CHD)
Borderline: 130 - 159 mg/dL
Higher risk: 160 mg/dL or greater

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Triglycerides (TRIG):

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Males & Females (mg/dL)

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2 - 9 years of age: < 75​​

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The Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents has set the following guidelines for lipids in a context of cardiovascular risk for children 2 - 17 years of age:

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TRIGLYCERIDES (2 - 9 years old)
Acceptable: < 75 mg/dL
Borderline high: 75 - 99 mg/dL
High: >= 100 mg/dL​

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10 - 17 years of age: < 90

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The Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents has set the following guidelines for lipids in a context of cardiovascular risk for children 2 - 17 years of age:

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TRIGLYCERIDES (10 - 17 years old)
Acceptable: < 90 mg/dL
Borderline high: 90 - 129 mg/dL
High: >= 130 mg/dL​

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>= 18 years of age: < 150

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The National Lipid Association and the National Cholesterol Education Program have set the following guidelines for lipids in a context of cardiovascular risk for adults 18 years old and older:

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TRIGLYCERIDES (>= 18 years old)
Normal: < 150 mg/dL
Borderline High: 150 - 199 mg/dL
High: 200 - 499 mg/dL
Very High: >= 500 mg/dL

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