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Apolipoprotein B (APOB), LDL Receptor (LDLR), and PCSK9 Gene Mutation Analysis, Blood

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

A blood-based genetic test that examines the APOB, LDLR, and PCSK9 genes for variants that can cause familial hypercholesterolemia.

Quick summary

["This test looks for inherited gene variants that may raise LDL cholesterol and increase the risk of cardiovascular disease."]

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

Key facts at a glance

LOINC
68467-0
Short code
APOB+LDLR+PCSK9 gene Mut Anl Bld/T
Synonyms
APOB+LDLR+PCSK9 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 variants in the APOB, LDLR, and PCSK9 genes. These genes help regulate how the body transports and removes LDL cholesterol.

Why might I need this test?

It may be ordered when high LDL cholesterol, low HDL cholesterol, or a family history of early heart disease suggests an inherited cholesterol disorder. Results can help guide treatment and testing for relatives.

How is the test performed?

A healthcare professional draws blood, and laboratory staff analyze its DNA for clinically relevant variants in the three genes. The laboratory reports whether a variant was detected and provides an interpretation when appropriate.

How do I prepare for the test?

Fasting is generally not required for this blood-based genetic test unless your healthcare professional gives other instructions. Tell the laboratory if you have received a blood transfusion or bone marrow transplant because these can affect DNA testing.

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.

A detected disease-causing variant may indicate familial hypercholesterolemia, a genetic condition that can cause elevated LDL cholesterol and premature cardiovascular disease. A negative result does not exclude all inherited causes of high cholesterol because other genes and environmental factors may be involved. A genetics professional or your healthcare provider can interpret the result in the context of your cholesterol levels, family history, and other findings.

Short name

APOB, LDLR, and PCSK9 genetic testing

Frequently asked questions

Does this test diagnose high cholesterol on its own?
No. The test identifies certain inherited variants that may affect cholesterol handling. Your healthcare provider will interpret the result along with your lipid profile, medical history, and family history.
Can relatives be tested?
Sometimes. If a clinically significant variant is found, a genetics professional may recommend targeted testing for biological relatives to determine who may need cholesterol monitoring or other care.
Will the results change my treatment?
They may. A confirmed genetic diagnosis can support earlier cholesterol treatment, lifestyle counseling, cardiovascular risk assessment, and evaluation of family members.
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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