HLA-B27 Antigen

Test Code
B27HL


Alias/See Also

LAB869



CPT Codes
<p>86812</p>

Preferred Specimen

Specimen Type: Whole blood

Collection Container/Type

Preferred: Green top (sodium heparin)

Acceptable: Yellow top (ACD-A or ACD-B), or Lavender top (EDTA)

Specimen Volume: 5 mL

Collection Instructions: Send whole blood specimen in original tube. Do not aliquot.



Minimum Volume

1 mL



Other Acceptable Specimens
Whole blood collected in: Acid citrate dextrose ACD-A or B (yellow-top), or EDTA (lavender-top) tube


Transport Temperature
Room temperature


Specimen Stability

Room temperature: 7 days

Refrigerated: 5 days

Frozen: Unacceptable



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

Hemolysis • Lithium heparin (green-top) tube • Clotted • Received frozen



Methodology

Flow Cytometry (FC)



Setup Schedule
Set up: Mon-Sat; Report available: 2-4 days


Report Available

2-4 days



Reference Range

Negative



Clinical Significance
HLA-B27 is found in 90% of patients with ankylosing spondylitis and 80% in Reiter's disease. Ankylosing spondylitis affects 1 in 1000 caucasians. Ankylosing spondylitis is 10 times more common among individuals with HLA-B27 compared to individuals without this antigen.


Performing Laboratory

Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153




Last Updated: February 23, 2012


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.