Cancer Antigen 125 (CA 125)

Test Code
CA125. - NCMC


CPT Codes
86304

Preferred Specimen
1.0 mL serum from SST


Minimum Volume
0.5 mL


Other Acceptable Specimens
1 mL plasma from Green top (Lithium Heparin) or 1 ml serum from Red Top


Specimen Stability
Specimen Type Temperature Time
Serum SST Refrigerated 5 days
  Frozen 6 months
Red Top – Separated* Refrigerated 5 days
  Frozen 6 months
Plasma Li Hep Refrigerated 5 days
  Frozen 6 months

*Centrifuge and aliquot into a plastic vial.


Methodology
Chemiluminescent immunoassay.

Setup Schedule
Monday through Sunday; Continuously


Report Available
Same day


Reference Range
Age  
0 – 4 months 2.4 – 22.0
4 months – 5 years 7.7 – 33.0
5 years – 11 years 4.7 – 30.0
11 years – 19 years 5.9 – 39.0
19 years – 150 years < 38.1


Clinical Significance
CA 125 belongs to the family of hybridoma defined tumor markers. The values measured are defined by the use of the monoclonal antibody (MAb) OC 125.



Elevated values are sometimes found in various benign gynecological diseases such as ovarian cysts, ovarian metaplasia, endometriosis, uterus myomatosus or cervicitis. Slight elevations of this marker may also occur in early pregnancy and in various benign diseases (e.g. acute and chronic pancreatitis, benign gastrointestinal diseases, renal insufficiency, autoimmune diseases and others). Markedly elevated levels have been found in benign liver diseases such as cirrhosis and hepatitis. Extreme elevations can occur in any kind of ascites due to malignant and benign diseases. Although the highest CA 125 values occur in patients suffering from ovarian carcinoma, clearly elevated values are also observed in malignancies of the endometrium, breast, gastrointestinal tract and various other malignancies.


Performing Laboratory
North Colorado Medical Center Laboratory



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.