Lipoprotein (a)

Test Code
34604


Alias/See Also
LAB563
APOLIPOPROTEIN
LPA


CPT Codes
83695

Preferred Specimen
1 mL serum


Minimum Volume
0.5 mL


Other Acceptable Specimens
Plasma collected in: EDTA (lavender-top), EDTA (royal blue-top) or heparin (green-top) tube


Transport Container
Serum separator tube (SST)


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 7 days
Refrigerated: 14 days
Frozen: 90 days


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


Methodology
Immunoturbidimetric

Setup Schedule
Sun, tues, thurs


Report Available
3-6 days


Reference Range
<75 nmol/L

Risk nmol/L
Optimal <75
Moderate 75-125
High >125

Cardiovascular event risk category cut points (optimal, moderate, high) are based on Tsimikas S. JACC 2017;69:692-711.


Clinical Significance

Elevated concentrations of Lp(a) are associated with increased risk of coronary artery disease.



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