Apolipoprotein Evaluation

Test Code
LAB5210247


Quest Code
7018


CPT Codes
82172 (x2)

Includes
Apolipoprotein A1
Apolipoprotein B
Apolipoprotein B/A1 Ratio


Preferred Specimen
1 mL serum


Minimum Volume
0.5 mL


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 7 days
Refrigerated: 10 days
Frozen: 30 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Grossly lipemic


Methodology
Immunoassay (IA)

Setup Schedule

AM



Report Available
1 day


Reference Range
Apolipoprotein A1
Male ≥115 mg/dL  
Female ≥125 mg/dL  
Risk Category Male Female
Optimal ≥115 mg/dL ≥125 mg/dL
High <115 mg/dL <125 mg/dL
Cardiovascular event risk category cut points (optimal, high) are based on the AMORIS study, Walldius G et al. J Intern Med. 2004;255:188-205.

Apolipoprotein B <90 mg/dL
Risk Category  
Optimal <90 mg/dL
Moderate 90-119 mg/dL
High ≥120 mg/dL
Cardiovascular event risk category cut points (optimal, moderate, high) are based on National Lipid Association recommendations-Jacobson TA et al. J of Clin Lipid. 2015; 9: 129-169 and Jellinger PS et al. Endocr Pract. 2017;23(Suppl 2):1-87.

Apolipoprotein B/A1 Ratio
Male <0.77  
Female <0.63  
Risk Category Male Female
Optimal <0.77 <0.63
Moderate 0.77-0.95 0.63-0.78
High >0.95 >0.78
Cardiovascular event risk category cut points (optimal, moderate, high) are based on the AMORIS study, Walldius G et al. J Intern Med. 2004;255:188-205.


Clinical Significance
Apolipoprotein A1 is the primary protein associated with HDL cholesterol. Like HDL cholesterol, increased concentrations are associated with reduced risk of cardiovascular disease. Apolipoprotein B-100 is the primary protein associated with LDL cholesterol and other lipid particles. Like LDL cholesterol, increased concentrations are associated with increased risk of cardiovascular disease. The ratio of these two apolipoproteins correlates with risk of cardiovascular disease.


Performing Laboratory
Quest Diagnostics Nichols Institute
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042




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.