Blood, ArterialBlood, CapillaryBlood, Central LineBlood, Venous
Specimen Types
Blood
Container
Gold-top or Mint green-top (lithium heparin gel) tube(s)
Collection Instructions
Submit 1 mL of serum (gold top tube) or plasma (mint green-top/ lithium heparin tube) Fasting for 8 to12 hours preferred prior to collection of the specimen is recommended. Triglyceride concentration can be influenced when measured in the non-fasting state.
Specimen Volume
Transport Instructions
Refrigerate
Specimen Stability
Methodology
Days Performed
Monday through Sunday
Performing Laboratory
Northwell Health Laboratories
CPT
82465 - cholesterol 83718 - lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) 84478 - triglycerides
Triglycerides Optimal Triglycerides concentration: <150 mg/dL (for adults) ; < 90 mg/dL (for children) Triglyceride concentration can be influenced when measured in the non-fasting state
HDL Cholesterol HDL cholesterol less than 40 mg/dL is a risk factor for cardiovascular disease
LDL cholesterol Optimal LDL cholesterol concentration vary based on ASCVD risk and treatment goals. All Patients: < 100 mg/dL Patients at High Risk ASCVD: < 70 mg/dL Patients at Very High Risk ASCVD: < 55 mg/dL Consider Familial Hypercholesterolemia when LDL > 190 mg/dL.
Non-HDL Cholesterol Optimal Non-HDL Cholesterol (Non-HDL-C) vary based on ASCVD risk and treatment goals. All Patients: < 130 mg/dL Patients at High Risk ASCVD: < 100 mg/dL Patients at Very High Risk ASCVD: < 85 mg/dL Consider Familial Hypercholesterolemia when Non-HDL > 220 mg/dL.
The suggested cutoff points are based on recommendations from the American College of Cardiology/American Heart Association (ACC/AHA) guidelines on the management of blood cholesterol [Circulation. 2019;139:e1082–e1143], and 2022 ACC Expert Consensus Decision Pathway [(J Am Coll Cardiol. 2022 Oct, 80 (14) 1366–1418]