Cholesterol

Label Mnemonic: CHOL
Epic code: LAB60
Downtime form: Doctor/Provider Orders - Pathology Core and Specialty Care Nursery
Chemistry
6240 RCP
356-3527
Specimen(s):
Plasma
Collection Medium:
Plasma Separator Tube 4.5 mL
Alternate Collection Media:
Call laboratory for additional acceptable specimen collection containers.
Minimum:

3 mL whole blood from light green top tube or 1 Microtainer® for pediatric patients

Testing Schedule:
24 hrs/day, 7 days a week, including holidays.
Turn Around Time:
1 hour (upon receipt in laboratory)
Reference Range:

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:

 

< 200 mg/dL - desirable

200-239 mg/dL - increase risk

≥ 240 mg/dL - significant increased risk

 

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: > or =200 mg/dL

 

Reference values have not been established for patients who younger than 24 months of age.

Comments:

Fasting for at least 8 hours prior to collection is recommended.

 

References

  1. Jacobson TA, Ito MK, Maki KC, et al: National Lipid Association recommendations for patient-centered management of dyslipidemia: Part 1-executive summary. J Clin Lipidol. 2014;8(5):473-488. doi: 10.1016/j.jacl.2014.07.007

  2. Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents; National Heart, Lung, and Blood Institute: Expert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents: Summary report. Pediatrics. 2011 Dec;128 Suppl 5(Suppl 5):S213-S256. doi: 10.1542/peds.2009-2107C
Test Limitations:

The assay is unaffected by indexes of hemolysis <700 mg/dL, lipemia <2000 mg/dL and icterus <30 mg/dL.

Methodology:

Enzymatic, Colorimetric method

CPT Code:
82465
 
See also:
Cholesterol-Other, Body Fluid
 
See Additional Information:
Fasting Specimen Requirements