Lipoprotein (a)

Message
For Specimen Integrity during Extreme Weather see the “Lockbox Usage in Extreme Weather” document at the top of this page.


Test Code
LIPOA


CPT Codes
83695

Preferred Specimen
1 mL serum


Minimum Volume
0.5 mL


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


Instructions
Avoid repeated freeze/thaw cycles.


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
Daily, Report available: Next day
 


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
14225 Newbrook Drive
Chantilly, VA 20153


Last Updated: September 19, 2023


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.