Anti-Nuclear Antibodies, IFA, with Reflex to Multiplex Antibody Comprehensive : 1003718

Test Code

ANACOM or 1003718

Alias/See Also

Lupus Testing; ANA; Antinuclear Antibodies; Connective Tissue Disease; Autoantibody Testing

CPT Codes
86038

Includes

If the ANA by IFA is positive, a titer will be performed at an additional charge (CPT code(s): 86039). If the ANA by IFA is positive at a titer of greater than or equal to 1:160, then the ENA panel will be performed at an additonal charge. ENA panel includes: SSA, SSB, RNP, SMITH, Jo-1, Scl-70, ds DNA multiplex flow, Centromere, Chromatin, Ribosomal P, and SmRNP. (CPT code(s): 86225, 83516, 86235x9). (If reflex: 1003544, ENACMP)

Instructions

Serum separator tube (gold top preferred) or a plain red top tube.

Transport Container

Centrifuge the serum separator tube and transport; if a plain red top tube, centrifuge and aliquot serum (Min. 1 mL) into a standard transport tube.

Transport Temperature

Refrigerated.

Specimen Stability

After separation from cells: Ambient: 48 hours; Refrigerated: 7 days; Frozen: 3 months if frozen within 24 hours

Methodology
Immunofluorescence Assay (IFA); if reflex Multiplex flow Immunoassay

Setup Schedule

Monday - Saturday

Report Available

1-3 days

Reference Range

ANA Screen: Negative

If reflex to ENA then all analytes Negative with the exception of dsDNA.
dsDNA :
Negative <or = 4 IU/mL
Indeterminate 5-9 IU/mL
Positive > or = 10 IU/mL

Clinical Significance

Used as an aid in the diagnosis of systemic autoimmune diseases.

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.