Cardio IQ® Apolipoprotein Evaluation

Test Code
91727


CPT Codes
82172 (x2)

Includes
Apolipoprotein A1
Apolipoprotein B
Apolipoprotein B/A1 Ratio


Preferred Specimen
1 mL serum


Minimum Volume
0.5 mL


Transport Container
Transport tube


Transport Temperature
Refrigerated (cold packs)


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


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


Methodology
Immunoturbidimetric

Setup Schedule
Sun-fri


Reference Range
Apolipoprotein A1
Male≥115 mg/dL
Female≥125 mg/dL
Risk CategoryMaleFemale
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
Moderate90-129 mg/dL
High≥130 mg/dL
⁠⁠⁠⁠⁠⁠⁠A desirable treatment target may be <80 mg/dL or lower depending on the risk category of the patient including patients on lipid lowering therapies, patients with ASCVD, diabetes with >1 risk factors, Stage 3 or greater CKD with albuminuria, or heterozygous familial hypercholesterolemia. ApoB relative risk category cut points are based on AACE/ACE and ACC/AHA recommendations (Grundy SM, et al. 2019. doi:10.1016/j.jacc.2018.11.002; Handelsman Y, et al. 2020. doi:10.4158/CS-2020-0490).

Apolipoprotein B/A1 Ratio
Male<0.77
Female<0.63
Risk CategoryMaleFemale
Optimal<0.77<0.63
Moderate0.77-0.950.63-0.78
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
Cleveland HeartLab, Inc
6701 Carnegie Avenue, Suite 500
Cleveland, OH 44103-4623



Last Updated: November 6, 2024


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.