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Test Code LAB14 Cholesterol, Plasma or Serum

Additional Codes

Test Name in EPIC EPIC Test Code Mnemonic
CHOLESTEROL LAB14 CHOL

 

Useful For/Utility

The Alinity c Cholesterol assay is used for the quantitation of cholesterol in human serum or plasma on the Alinity c analyzer.

Methodology

Enzymatic

Clinical Information

Measurement of serum cholesterol levels can serve as an indicator of liver function, biliary function, intestinal absorption, propensity toward coronary artery disease, and thyroid function. Cholesterol levels are important in the diagnosis and classification of hyperlipoproteinemias. Stress, age, gender, hormonal balance, and pregnancy affect normal cholesterol levels.1The Adult Treatment Panel of the National Cholesterol Education Program (NCEP) recommends that all adults 20 years of age and over should have a fasting lipoprotein profile (total cholesterol, LDL cholesterol, HDL cholesterol, and triglyceride) once every five years to screen for coronary heart disease risk.

Specimen Requirements

Submit only 1 of the following specimens:

 

Preferred:

Specimen Type: Plasma

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

Specimen Volume: 1 mL

Specimen Minimum Volume: 0.5 mL

Collection Instructions:

1. Separate plasma from cells within 2 hours of draw. Do not ultracentrifuge.

2. If plunger filters are used, immediate removal of plasma is indicated unless an air gap can be created between the device and specimen.

Additional Information:

1. Avoid repeated freeze/thaw cycles.

2. Label specimen appropriately (plasma).

 

Alternate:

Specimen Type: Serum

Container/Tube: Serum gel

Specimen Volume: 1 mL

Specimen Minimum Volume: 0.5 mL

Collection Instructions:

1. Separate serum from cells within 2 hours of draw. Do not ultracentrifuge.

2. If plunger filters are used, immediate removal of serum is indicated unless an air gap can be created between the device and specimen.

Additional Information:

1. Avoid repeated freeze/thaw cycles.

2. Label specimen appropriately (serum).

Specimen Transport Temperature

Refrigerate 5 days/Ambient 8 hours OK/Frozen OK

Day(s) Test Set Up

Monday through Sunday

Performing Laboratory

Chemistry -

St. Joseph's - Baxter Clinic Lab, St. Joseph's - Brainerd Clinic Lab, St. Joseph's Medical Center Lab

Ashland Clinic Lab, Deer River Hospital Lab, Ely Clinic Lab, Hayward Clinic Lab, Hibbing Clinic Lab, International Falls Clinic Lab, Moose Lake Hospital Lab, Northern Pines Lab, Sandstone Hospital Lab, SMDC Clinical Lab, Spooner Clinic Lab, St. Mary's Hospital - Superior Lab, Virginia Hospital Lab

Ada Hospital Lab, Fargo Hospital Lab, Fosston Hospital Lab, Holy Trinity Hospital Lab, Park Rapids Clinic Lab, South University Clinic Lab, St. Mary's - Detroit Lakes Hospital Lab

 

Test Classification and CPT Coding

82465

Reference Values

The National Lipid Association and the National Cholesterol Education Program (NCEP) have set the following guidelines for lipids (total cholesterol, triglycerides, high-density lipoprotein [HDL] cholesterol, low-density lipoprotein [LDL], and non-HDL cholesterol) in adults 18 years old and older:

 

Optimal: <200 mg/dL
Borderline High: 200-239 mg/dL
High: ≥ 240 mg/dL

 

The Expert Panel on Intergrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents has set the following guidelines for lipids (total cholesterol, triglycerides, high-density lipoprotein [HDL] cholesterol, low-density lipoprotein [LDL], and non-HDL cholesterol) in children up to the age of 17:

 

Optimal: <170 mg/dL
Borderline High: 170-199 mg/dL
High: ≥ 200 mg/dL