Glutamic Acid Decarboxylase-65 Antibody : 34878

Test Code
GADABQ or 34878


CPT Codes
86341

Instructions
Serum separator tube or plain red tube.


Transport Container
Centrifuge serum separator tube and transport. If plain red, centrifuge and aliquot 1 mL serum (Min: 0.5 mL) into a standard transport tube.


Transport Temperature
Refrigerated.


Specimen Stability
Ambient: 7 days; Refrigerated: 14 days; Frozen: 60 days


Methodology
Enzyme Linked Immunosorbent Assay (ELISA)

Setup Schedule
Sunday - Friday


Report Available
3-5 days (From receipt at performing laboratory)


Limitations
GAD-65 antibodies are detected in 20% of diabetic twins who remain disease-free for long periods of time and in 8% of healthy individuals.


Reference Range
less than 5 IU/mL


Clinical Significance
Glutamic acid decarboxylase (GAD-65) antibody is useful to diagnose insulin dependent diabetes mellitus [Type I diabetes (autoimmune-mediated diabetes)] to assess risk for development of Type I diabetes, to predict onset of Type I diabetes, and risk of development of related endocrine disorders, e.g., thyroiditis. Before clinical onset, Type I diabetes is characterized by lymphocytic infiltration of the islet cells, and by circulating autoantibodies against a variety of islet cell antigens, including GAD-65, IA-2 (a tyrosine phosphatase-like protein), and insulin (IAA).


Performing Laboratory
Quest Diagnostics



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.