ARUP's Laboratory Test Directory

Lipid Panel, Extended : 0020468

Mnemonic: CRISK E

Ordering Recommendation: Use to assess cardiovascular disease risk and guide therapy.
Methodology: Quantitative Spectrophotometry/Quantitative Enzymatic
Performed: Sun-Sat
Reported: Within 24 hours
Specimen Required: Patient Prep: Patient must fast for 12-15 hours prior to collection.

Collect: Serum separator tube or plasma separator tube.

Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Storage/Transport Temperature: Refrigerated.

Unacceptable Conditions: Body Fluid (refer to Chylomicron Screen, Body Fluid, ARUP test code 0098457).

Stability (collection to initiation of testing): After separation from cells: Ambient: 24 hours; Refrigerated: 5 days; Frozen: 3 months
Reference Interval:
By Report
             
Interpretive Data: An HDL cholesterol less than 40 mg/dL is low and constitutes a coronary heart disease risk factor.  An HDL cholesterol greater than 60 mg/dL is a negative risk factor for coronary heart disease.

Non-HDL cholesterol is a secondary target of therapy in persons with high serum triglycerides (greater than 199 mg/dL).  The goal for non-HDL cholesterol in persons with high triglycerides is 30 mg/dL higher than their LDL cholesterol goal.

CHD Risk Factors
+1  Age: Men, 45 years and older
    Women, 55 years and older or premature menopause without estrogen therapy
+1 Family history of premature CHD
+1  Current smoking
+1  Hypertension
+1  Diabetes mellitus
+1  Low HDL cholesterol: 39 mg/dL or less
-1  High HDL cholesterol: 60 mg/dL or greater
 
20 years and older Desirable Borderline Higher Risk
Cholesterol 199 mg/dL or less 200-239 mg/dL 240 mg/dL or greater
Triglycerides 149 mg/dL or less 150-199 mg/dL 200-499 mg/dL
HDL Cholesterol 40 mg/dL or greater  39 mg/dL or less
LDL Cholesterol 129 mg/dL or less
(99 mg/dL or less if patient has CHD) 		130-159 mg/dL 160 mg/dL or greater
Appearance Clear   
VLDL Cholesterol (calculated) 30 mg/dL or less   

 
0-19 years Desirable Borderline High Risk
Total Cholesterol 169 mg/dL or less 170-199 mg/dL 200 mg/dL or greater
LDL-Cholesterol (measured) 109 mg/dL or less 110-129 mg/dL 130 mg/dL or greater

Note: LDL-cholesterol is measured (not calculated) on this panel.
CPT Code(s): 80061; 83721
Cross References: Coronary Risk Panel (Lipid Panel, Extended)