ABETA 42/40, P-TAU217 EVALUATION(O)

Test Code
ABETA 42/40, P-TAU217 EVALUATION(O)


CPT Codes
82233, 82234, 84393

Preferred Specimen
2.5 mL total plasma collected in a K2 EDTA (lavender-top) tube split into two equal aliquots


Patient Preparation
Patients should be cautioned to stop biotin consumption at least 72 hours prior to collection of a sample

Minimum Volume
1.2 mL


Instructions
Quest Diagnostics does not perform this test for individuals under the age of 18. Pre-test and post-test counseling is strongly recommended.

Collect blood into a K2 EDTA (lavender-top) tube and mix by inversion 10 times. Centrifuge to separate plasma from cells within 1 hour of collection. Carefully transfer plasma into 2 separate polypropylene tubes or 2 separate Quest issued polypropylene pour-off/transfer tubes. Do not transfer to conical tubes. Store frozen.


Transport Container
Transport tube (x2)


Transport Temperature
Frozen


Specimen Stability
Room temperature: Unacceptable
Refrigerated: 72 hours
Frozen: 28 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Moderate hemolysis • Gross hemolysis • Specimen collected in a glass, polystyrene, or polycarbonate tube • K3 EDTA tube • K2 EDTA gel separator tube


Methodology
Immunoassay (IA) • Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)

Setup Schedule
Mon-Sat


Report Available
4-6 days


Reference Range
ABeta 42 Not Established


ABeta 40 Not Established


ABeta 42/40 Ratio   ≥0.170


AD Detect p-tau217 ≤0.15 pg/mL



Clinical Significance
AD-Detect™ ABeta 42/40 and p-tau217 Evaluation, Plasma - Intended use is for Alzheimer's Diagnosis. Independent measurement and interpretation of plasma amyloid ratios (AB42/40) and phosphorylated tau levels (p-tau181 and p-tau217) provide clinically valuable insight into patient risk for development of Alzheimer's disease. However, by combining core AD pathological markers for a single analytical interpretation have been shown to significantly improve predictive performance and accuracy for detecting amyloid positivity and confirming a diagnosis of Alzheimer's disease. The AD-Detect™ ABeta 42/40 and p-tau217 Evaluation, Plasma evaluates a patient's plasma AB42/40 ratios and p-tau217 levels reporting out the likelihood that a symptomatic patient suspected of AD has a High, Indeterminant, or Low likelihood of amyloid pathology consistent with AD. This panel meets established performance criteria for confirming a diagnosis of Alzheimer's disease utilizing plasma biomarkers.


Performing Laboratory
Quest Diagnostics Nichols Institute-San Juan Capistrano, CA

Additional Information
Click here

Last Updated: January 15, 2026


The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.