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22831 Lipoprotein Cholesterol and HDL

Lipoprotein Cholesterol and HDL
Test Code: HDLTC
Synonyms/Keywords
Cholesterol, Total and HDL, HDL Cholesterol and Total Cholesterol​
Test Components
Includes total cholesterol, HDL-cholesterol, and calculated non-HDL cholesterol.​
Specimen Requirements
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
Preferred
9-12 hour
Plasma​/SerumLithium-heparin Plasma Separator (PST)​, Serum Separator Tube (SST)Lithium or Sodium-heparin Green Top (GTT), Red Top Tube (RTT)1 mL​0.5 mL​ ​
Specimen Stability Information
Specimen Type Temperature Time
Plasma/Serum​ ​ Ambient​ 5 days​
Refrigerate​ 7 days​
​Frozen ​30 days
Rejection Criteria
Moderate and grossly icteric samples​
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
​Chippewa Falls ​Monday through Friday ​Less than 2 hours​ ​Photometric Biochromatic Endpoint & Direct/Siemens Dimension
Weston​ ​Monday through Sunday​ ​Less than 2 hours​ ​Photometric Biochromatic Endpoint & Direct/Siemens Dimension
Eau Claire​ ​Monday through Sunday​ ​Less than 2 hours​ ​Accelerator Selective Detergent Endpoint Assay/Beckman AU
​Lakeview Medical Center ​Monday through Sunday​ ​Less than 2 hours​ Accelerator Selective Detergent Endpoint Assay/Beckman AU
Marshfield​ Monday through Sunday​ Less than 2 hours​ Accelerator Selective Detergent Endpoint Assay/Beckman AU
​Minocqua ​Monday through Sunday​ ​Less than 2 hours​ ​Accelerator Selective Detergent Endpoint Assay/Beckman AU
​Wisconsin Rapids ​Monday through Friday ​Less than 2 hours​ ​Photometric Biochromatic Endpoint & Direct/Siemens Dimension
Reference Range Information
Performing Location Reference Range
All Performing Sites​
using Dimension
HDL Cholesterol:           40-59 mg/dL
Cholesterol: 0-20 yrs: 100-170 mg/dL
                    > 20 yrs: 100-200 mg/dL​
All Performing Sites using ​Beckman AU
HDL Cholesterol:        
              0 - 14 days:    13 - 39 mg/dL
         15 days - <1 yr:     9 - 69 mg/dL
               1 yr - <4 yr:   30 - 60 mg/dL
                 4 - <13 yr:   33 - 70 mg/dL
Female:   13 - <19 yr:   29 - 69 mg/dL
    Male:   13 - <19 yr:   29 - 66 mg/dL
                          >=19 yr:   40 - 59 mg/dL
Cholesterol:  0-20 yrs:  100-170 mg/dL
                     > 20 yrs: 100-200 mg/dL​
Interpretation

Cholesterol:

0-20 yrs: Marked increase: >200 mg/dL
> 20 yrs: Marked increase: >240 mg/dL​

Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
82465​ ​ ​ Total cholesterol​ ​
83718 ​ ​ ​ HDL cholesterol ​ ​
Synonyms/Keywords
Cholesterol, Total and HDL, HDL Cholesterol and Total Cholesterol​
Test Components
Includes total cholesterol, HDL-cholesterol, and calculated non-HDL cholesterol.​
Ordering Applications
Ordering Application Description
​Centricity ​Lipoprotein, Chol and HDL
​Cerner ​Lipoprotein, HDL, Total Chol
​COM ​Lipo, CHOL & HDL Only
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
Preferred
9-12 hour
Plasma​/SerumLithium-heparin Plasma Separator (PST)​, Serum Separator Tube (SST)Lithium or Sodium-heparin Green Top (GTT), Red Top Tube (RTT)1 mL​0.5 mL​ ​
Specimen Stability Information
Specimen Type Temperature Time
Plasma/Serum​ ​ Ambient​ 5 days​
Refrigerate​ 7 days​
​Frozen ​30 days
Rejection Criteria
Moderate and grossly icteric samples​
Test Components
Includes total cholesterol, HDL-cholesterol, and calculated non-HDL cholesterol.​
Reference Range Information
Performing Location Reference Range
All Performing Sites​
using Dimension
HDL Cholesterol:           40-59 mg/dL
Cholesterol: 0-20 yrs: 100-170 mg/dL
                    > 20 yrs: 100-200 mg/dL​
All Performing Sites using ​Beckman AU
HDL Cholesterol:        
              0 - 14 days:    13 - 39 mg/dL
         15 days - <1 yr:     9 - 69 mg/dL
               1 yr - <4 yr:   30 - 60 mg/dL
                 4 - <13 yr:   33 - 70 mg/dL
Female:   13 - <19 yr:   29 - 69 mg/dL
    Male:   13 - <19 yr:   29 - 66 mg/dL
                          >=19 yr:   40 - 59 mg/dL
Cholesterol:  0-20 yrs:  100-170 mg/dL
                     > 20 yrs: 100-200 mg/dL​
Interpretation

Cholesterol:

0-20 yrs: Marked increase: >200 mg/dL
> 20 yrs: Marked increase: >240 mg/dL​

For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
​Chippewa Falls ​Monday through Friday ​Less than 2 hours​ ​Photometric Biochromatic Endpoint & Direct/Siemens Dimension
Weston​ ​Monday through Sunday​ ​Less than 2 hours​ ​Photometric Biochromatic Endpoint & Direct/Siemens Dimension
Eau Claire​ ​Monday through Sunday​ ​Less than 2 hours​ ​Accelerator Selective Detergent Endpoint Assay/Beckman AU
​Lakeview Medical Center ​Monday through Sunday​ ​Less than 2 hours​ Accelerator Selective Detergent Endpoint Assay/Beckman AU
Marshfield​ Monday through Sunday​ Less than 2 hours​ Accelerator Selective Detergent Endpoint Assay/Beckman AU
​Minocqua ​Monday through Sunday​ ​Less than 2 hours​ ​Accelerator Selective Detergent Endpoint Assay/Beckman AU
​Wisconsin Rapids ​Monday through Friday ​Less than 2 hours​ ​Photometric Biochromatic Endpoint & Direct/Siemens Dimension
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
82465​ ​ ​ Total cholesterol​ ​
83718 ​ ​ ​ HDL cholesterol ​ ​
For most current information refer to the Marshfield Laboratory online reference manual.