ANA Autoimmune Profile with Cascade : 1004676

Test Code
1004676

CPT Codes
86038, 86431, 82785, 86606, 86609x4, 86331, 85652, 86021

Includes
This test orders includes the following individual tests:
Test Name                                                                                       Order code             Interface Code
Anti-nuclear Antibodies (ANA) with Cascade**                                     ANACAS                  1003672
Rheumatoid Factor                                                                            RF                          1000807
IgE Immunoglobulin                                                                          IGE                        1000558
Hypersensitivity Pneumonitis Screen                                                   HSENSQ                     14978X         
Erythrocyte Sedimentation Rate (ESR)                                                 ESR                         1000301
Anti-neutrophil Cytoplasmic Antibody (ANCA)                                       ANCA                       1000077
  
**Cascades  to Stage 1 if ANA is positive: Chromatin, ds DNA multiplex flow,  RNP, SMITH,  Sm RNP;  if Stage 1 antibodies are negative then cascades to Stage 2: Jo-1, Scl-70, SSA, SSB; if Stage 2 antibodies are negative then cascades to Stage 3: Centromere, Ribosomal P antibodies.

If reflex to Stage 1 then add 86235x4, 86225, if reflex to Stage 2 then add 86235x4, if reflex to Stage 3 then add 86235, 83520.

Instructions
Serum separator tube (gold top preferred) for ANA testing, a plain red top tube for Hypersensitivity Panel, and a lavender top (EDTA) tube.

Transport Container
Centrifuge the serum separator tube and transport (Min. 2.5 mL); for the plain red top tube, centrifuge and aliquot serum (Min. 2.0 mL) into a standard transport tube. Transport the whole blood lavender top (Min. 2 mL).

Transport Temperature
Refrigerated.

Specimen Stability
Refer to Individual Test Codes.

Methodology
Refer to Individual Test Codes.

Setup Schedule
Refer to Individual Test Codes.

Report Available
Refer to Individual Test Codes.

Reference Range
Refer to Individual Test Codes.

Performing Laboratory
med fusion



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.