Cyclic Citrullinated Peptide (CCP) Antibody (IgG)

Test Code
CCPIG


Alias/See Also

LAB851



CPT Codes
<p>86200</p>

Preferred Specimen

Specimen Type: Serum


Collection Container/Type


Preferred: Serum gel


Acceptable: Red top


Submission Container/Tube: Plastic vial


Specimen Volume: 1 mL



Minimum Volume

0.5 mL



Transport Container
Plastic screw-cap vial


Transport Temperature
Room temperature


Specimen Stability

Room temperature: 4 days


Refrigerated: 7 days


Frozen: 30 days



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

Gross hemolysis • Gross lipemia • Plasma



Methodology

Immunoassay (IA)



Setup Schedule
Set up: Tues-Sat a.m.; Report available: Next day


Report Available

Next day



Limitations

The presence of immune complexes may cause false-positive results due to increased non-specific binding.



Reference Range
Negative <20 Units
Weak positive 20-39 Units
Moderate positive 40-59 Units
Strong positive >59 Units


Clinical Significance
A synthetic circular peptide containing citrulline called CCP IgG (cyclic citrullinated peptide) has been found to be better at discriminating Rheumatoid Arthritis patients from patients with other diseases such as hepatitis C infection. Rheumatoid Arthritis Classification Criteria include CCP IgG Antibody, rheumatoid factor, C-reactive protein and erythrocyte sedimentation rate (ESR). Approximately 70% of patients with Rheumatoid Arthritis are positive for Anti-CCP IgG, while only about 2% of random blood donors and disease controls subjects are positive.


Performing Laboratory
Quest Diagnostics Nichols Institute 14225 Newbrook Drive Chantilly, VA 20153


Last Updated: February 17, 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.