SYPHILIS ANTIBODY IGG/IGM, CASCADING REFLEX

Test Code
LAB1197


Alias/See Also
Syphilis Antibody Cascading Reflex


CPT Codes
86780

Includes
If Syphilis IgG/IgM CMIA result is reactive, then RPR Screen with Reflex to titer will be performed. If the RPR is reactive, a RPR titer will be reported. If RPR is non reactive, then TP-PA will be reported and performed.


Preferred Specimen
7 mL Red Top Tube


Minimum Volume
4.0 mL


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Grossly hemolyzed or contaminated  samples


Methodology
CMIA

Setup Schedule
Set Up: Monday - Friday; Report Available: 1 day


Reference Range
Non Reactive


Clinical Significance
The Architect Syphilis TP assay is a chemiluminescent microparticle immunoassay for the qualitative detection of (IgG/IgM) antibodies directed against Treponema Pallidum in serum. Syphilis is caused by infection with the bacterium Treponema pallidum (TP), which is transmitted by sexual contact or congenitally. The disease can present in different clinically defined stages (primary, secondary, latent, and tertiary); the latent phase is asymptomatic. Upon infection with TP, an immune response develops that is directed not only against antigens specific to TP but also antigens released during the TP-mediated cellular damage. Two types of tests have been developed as aids to diagnose syphilis, treponemal and nontreponemal. A positive treponemal test result is an indication for an acute, latent, or past infection with TP. Nontreponemal tests are especially valuable for monitoring disease activity and therapy response. It is common practice that reactive test results of either a treponemal or nontreponemal test are confirmed by a test of the complimentary test type to enhance diagnostic accuracy.


Performing Laboratory
GBMC Immunology



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.