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Apolipoprotein B (APOB) and Low-Density Lipoprotein Receptor (LDLR) Gene Mutation Analysis, Blood — Detection

Published: August 9, 2026Updated: August 16, 2026

A blood-based genetic test that checks for selected inherited changes in the APOB or LDLR genes, which can cause familial hypercholesterolemia.

Quick summary

["This test looks for inherited gene changes that may cause unusually high LDL cholesterol."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
56752-9
Short code
APOB+LDLR gene Mut Anl Bld/T
Synonyms
APOB+LDLR gene Mut Anl Bld/T
Category
lipid
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
0
Ref high
100
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
molgen
CPT
83721
SNOMED
113079007
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What is this test?

This test analyzes DNA from a blood sample for certain mutations in the APOB or LDLR genes. These genes help regulate how the body handles and removes LDL cholesterol.

Why might I need this test?

It may be considered when high LDL cholesterol runs in a family, appears at a young age, or may be caused by a familial hypercholesterolemia genetic condition. A clinician can decide whether this test is appropriate based on your personal and family history.

How is the test performed?

A blood sample is collected, and laboratory staff analyze the DNA for selected changes in the APOB and LDLR genes. The exact laboratory methods may vary, and testing may not detect every possible genetic change.

How do I prepare for the test?

No special preparation is usually required for the genetic portion of this test. If blood lipid testing is also ordered, you may need to follow the clinic's instructions about fasting.

Reference range

Optimal: <100 mg/dLN/A

Specimen: whole-blood

Fasting for 12-14 hours preferred. Water is permitted. Avoid alcohol for 24 hours before the test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Finding a disease-causing change in APOB or LDLR can support a diagnosis of familial hypercholesterolemia. This condition can cause elevated LDL cholesterol and increase the risk of early heart disease and stroke. A negative result does not exclude every genetic cause, so results should be interpreted with cholesterol measurements, family history, and other clinical findings.

Short name

APOB/LDLR genetic testing

Frequently asked questions

What does this test look for?
It looks for selected inherited mutations in the APOB and LDLR genes. These genes affect how LDL cholesterol is handled by the body.
Does a positive result mean I have heart disease?
No. It indicates an inherited genetic change that may increase cholesterol levels and cardiovascular risk, but it does not show whether heart disease is already present.
Can this test rule out familial hypercholesterolemia?
Not completely. A negative result means no tested mutation was detected, but other genes or genetic changes not covered by this test may still be responsible.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy