Familial Hypercholesterolemia (FH) Panel

Test Code
94877


CPT Codes
81405, 81406 (x2), 81407, 81479<br /> <strong>This test is not available for California, or Nevada patient testing.</strong>

Preferred Specimen
5 mL whole blood collected in an EDTA (lavender-top) or ACD (yellow-top) tube


Minimum Volume
2 mL


Instructions
Specimen stability is crucial. Store and ship room temperature immediately. Do not freeze. Send completed Clinical History Form and test results of any family member with a known pathogenic variant.


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 8 days
Refrigerated: 8 days
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis • Clotted


Methodology
Next Generation Sequencing with Microarray Confirmation

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule
Set up: Tues; Report available: 14 days from completed pre-authorization


Reference Range
See Laboratory Report


Clinical Significance
Familial hypercholesterolemia (FH) is characterized by high levels of LDL cholesterol (LDL-C). Elevated levels of LDL-C cause an increased risk for premature coronary artery disease, which can result in myocardial infarction. Individuals with FH may also develop visible lipid deposits in the tendons (tendon xanthoma) or eyes (corneal arcus).
The LDLR, APOB, and PCSK9 genes are associated with familial hypercholesterolemia. This test includes comprehensive analysis of these three genes.




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.