Platelet Autoantibody, Cell Bound

Test Code
PACB


Alias/See Also
Platelet Antibody, Direct


Preferred Specimen
20 mL EDTA whole blood


Minimum Volume
Adults: 10 mL; Pediatrics: 5 mL


Instructions
The patient must have a platelet count >10,000/microliter. Specimen must reach reference lab within 48 hours of collection.


Transport Container
Original collection vial


Transport Temperature
Refrigerated


Specimen Stability
48 hours refirgerated


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimens >48 hours when received at reference lab


Report Available
3-6 days


Reference Range
An interpretive report will be included.


Clinical Significance
Platelet antibodies may be allo- or autoantibodies and may be directed to a wide range of antigenic "targets" on platelet cytoplasmic membranes. Alloantibodies are involved in clinical conditions such as platelet refractoriness, neonatal alloimmune thrombocytopenia, and posttransfusion purpura. In contrast, platelet autoantibodies are involved in idiopathic (autoimmune) thrombocytopenic purpura, the thrombocytopenia associated with systemic lupus erythematosus, and with the thrombocytopenia associated with sepsis (usually bacterial, occasionally fungal). Sometimes platelet autoantibodies can be detected in the patient's serum, but extensive data demonstrate that direct detection of immunologically bound immunoglobulin (usually IgG) is considerably more sensitive for autoantibody detection.




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.