BETA-2 GLYCOPROTEIN 1 ANTIBODIES, IGG, SERUM

Message
Evaluation of patients with suspected antiphospholipid syndrome (APS)


Test Code
LAB1507


CPT Codes
86146

Preferred Specimen
Gold Top Tube
Pediatric: 2 Gold Top Microtainers


Other Acceptable Specimens
Red Top Tube


Instructions
Centrifuge within 1 hour of collection. Separate serum from cells if Red Top Tube. Aliquot 0.5 mL serum.
Required For Testing: 0.5 mL


Transport Temperature
Refrigerated


Specimen Stability
Refrigerated: 7 Days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Failure to fully fill the tube.


Methodology
Multiplex Immunoassay

Reference Range
≤ 19 Units/mL = Negative
≥ 20 units/mL = Positive


Clinical Significance
Autoimmune serology results must be interpreted within clinical context. Strongly positive results for beta 2 glycoprotein 1 (beta 2 GP1)
antibodies (>40 U/mL for IgG and/or IgM) are diagnostic criterion for antiphospholipid syndrome (APS). Lesser levels of IgG and IgM beta 2
GP1 antibodies (≥20 to <40 U/mL) and positive antibodies of the IgA isotype are not considered diagnostic. Beta 2 GP1 antibodies must be
detected on 2 or more occasions at least 12 weeks apart to fulfill the laboratory diagnostic criteria for APS. Detection of beta 2 GP1 antibodies is not affected by anticoagulant treatment.


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.