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Test Code LIPP+RFLX Lipid Profile with LDL Reflex

Important Note

Reflexed LDL sent to Mayo-

must draw extra red top

Performing Laboratory

North Ottawa Community Hospital-Lipid Profile

Mayo-Reflexed Direct LDL

 

Specimen Requirements

Submit BOTH of the following specimens:

 

Specimen Type: Plasma

Container/Tube: Mint-green top (lithium heparin gel)

Specimen Volume: 1 mL

Collection Instruction: 

1. A 12 to 14 hour fast is recommended for accurate results.

2. Eating affects results. Indicate patient’s fasting status on requisition.

3. Avoid hemolysis and lipemia.

 

Specimen Type: Serum

Container/Tube: Red top

Specimen Volume: 1 mL

Collection Instruction: 

1. A 12 to 14 hour fast is recommended for accurate results.

2. Eating affects results. Indicate patient’s fasting status on requisition.

3. Avoid hemolysis and lipemia.

Reference Values

CHOLESTEROL

120-200 mg/dL

 

HDL

Heightened risk: <40 mg/dL

Medium risk: 40-60 mg/dL

Protection probable: >60 mg/dL

 

RATIO (CALCULATED)

0-5

 

TRIGLYCERIDE

50-150 mg/dL

*>400 reflexes Direct LDL

 

LDL (CALCULATED)

70-129 mg/dL


VLDL (CALCULATED)

20-42 mg/dL

Day(s) Test Set Up

Monday through Sunday

Methodology

Profile Information:
Cholesterol/HDL Ratio Triglycerides
LDL (Calculation) VLDL (Calculation)

Method Name:

Bichromatic End point/Dextrose-Sulfate/Calculated

Test Classification and CPT Coding

80061 Lipid Panel

83721 Direct LDL – if approp.