IgA (Immunoglobulin A)

Message
Performing Lab: Central Lab, Regions


Test Code
0515


Alias/See Also
Sunquest: IGA


CPT Codes
82784

Preferred Specimen
0.6 mL Lithium Heparin Plasma (light green-top) tube


Minimum Volume
0.3 mL


Other Acceptable Specimens
Serum separator (gold-top), Red, Red/Gray


Transport Temperature
Refrigerated


Specimen Stability
Refrigerated: 7 days


Methodology
Immunoturbidimetric

Setup Schedule
Monday - Friday


Report Available
Same day


Limitations
Abnormally elevated levels of monoclonal immunoglobulin, as in cases of multiple myeloma, amyloidosis, or other lymphoproliferative diseases may interfere with the quantification of IgA


Reference Range
Age Sex Reference Range
0-4 Months Female 1-34
4 Months-2 Years Female 8-91
2 Years-13 Years Female 21-282
13 Years-61 Years Female 65-421
Greater than 61 Years Female 69-517
0-4 Months Male 1-34
4 Months- 2 Years Male 8-91
2 Years - 13 Years Male 21-291
13 Years - 61 Years Male 63-484
Greater than 61 Years Male 101-645
     
     
     
     
     
     
     
     
     

 


Clinical Significance
IgA represents 10 to 15% of serum immunoglobulin. Despite the uncertainty of its exact role in serum, its part in resistance against infection is due to the prevention of adherence of bacteria, or to the inhibition of attachment and penetration of viruses. IgA may be elevated in recurrent infections and anaphylactic transfusion reactions. Increases are also associated with chronic liver disease, chronic infections, neoplasia of the lower GI tract and inflammatory bowel disease. IgA may be used as an aid in the diagnosis of ataxia telangiectasia, in the differentiation of M-components in multiple myeloma, and in the evaluation of progression of IgA myeloma. Decreased levels of IgA may be found in isolated genetic deficiency, combined immunodeficiency disorders, non-IgA multiple myeloma or macroglobulinemia.




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.