LIPID PF

Lipid Panel

EPIC Test Procedure Code: LAB2280

Performing Lab:
Saint Luke's Regional Laboratories
Patient Preparation:

Fasting - overnight (12 - 14 hour)

Container Type:
Serum gel tube or green top (heparin) tube
Specimen Type:

Serum or plasma

Preferred Volume:
4 mL
Minimum Volume:
2 mL
Collection Procedure:

Label the tube appropriately (serum or plasma).

Store and Transport:
Room temperature
CPT Codes:

80061 - Lipid Panel (EAP 30013720)

Test Schedule:
Monday through Sunday
Test Includes:
Cholesterol, HDL; Cholesterol, Total; LDL Cholesterol (LDLC), calculated; Non HDL Cholesterol, calculated; Total/HDL Cholesterol Ratio; Triglycerides
Reference Ranges:

LDL Cholesterol (LDLC), Calculated
0 - 18 years:
< 110 mg/dL Acceptable
110 - 129 Borderline High
≥ 130 High
19 + years: 0 - 99 mg/dL

Non HDL Cholesterol, Calculated
0 - 18 years:
< 120 mg/dL Acceptable
120 - 144 mg/dL Borderline High
≥ 145 mg/dL High
19 + years: ≤ 130 mg/dL

Total/HDL Cholesterol Ratio

0.0 - 4.5

See individual test listings for other reference values.
Notes:

This may be considered a screening test. Medicare may not reimburse for this. Please have Medicare patients sign an Advance Beneficiary Notice (ABN) form. Saint Luke's Regional Laboratories has documented traceability to National Reference System for Cholesterol.

Lab Personnel

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