HEP-2 SUBSTRATE ANTINUCLEAR ANTIBODIES, SERUM

Test Code
LAB147


CPT Codes
86038

Preferred Specimen
One 5 mL gold top tube


Minimum Volume
Required for Testing: 0.8 mL serum


Instructions
Sample must be centrifuged within 1 hour of collection and aliquot 0.8 mL of serum.


Transport Temperature
Refrigerated


Specimen Stability
Refrigerated: 72 hours   Frozen: not specified


Methodology
Immunofluorescence, Automated

Setup Schedule
Monday-Friday, day shift


Reference Range
Negative


Clinical Significance
Diagnosis of autoimmune diseases by rheumatology specialists. The primary test used to evaluate patients with suspected systemic
rheumatic disease is ANTINUCLEAR ANTIBODIES (ANA), SERUM performed by IFA.

Initial screening dilution is 1:80. If the test result is negative, no additional testing is performed and the Negative result is reported.
Positive 1:80 titers get endpoint titration up to 1:5120; beyond that, the titer is reported as ">1:5120". Positive results are reported with titer
and pattern information. Cytoplasmic staining will be noted in result comments when identified, but is not anti-nuclear staining, so renders the ANA result Negative, Cytoplasmic fluorescence noted.
Positive ANA results must be interpreted along with clinical and other laboratory findings. Follow-up testing with appropriate subserology (ie,
dsDNA, chromatin, centromere, SS-A/Ro, SS-B/La, Scl-70, Jo-1, RNP, and ribosome P antibodies is suggested as clinically indicated.


Performing Laboratory
West Virginia University Hospital, Inc.




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.