BETA-2-GLYCOPROTEINS, IGG/IGM

Test Code
LAB8050


CPT Codes
86146 x2

Includes
  • Beta-2 glycoprotein IgG
  • Beta-2 glycoprotein IgM


Preferred Specimen
Gold Tube (SST)


Patient Preparation
None

Minimum Volume
1 mL


Other Acceptable Specimens
Green Tube (Lithium Heparin)


Instructions
Allow gold tube to clot at room temperature then centrifuge for complete separation of serum from red cells. 


Transport Container
Gold tube


Transport Temperature
Refrigerate


Specimen Stability
2-8°C up to 7 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolysis


Methodology
Multiplex Flow Immunoassay

Setup Schedule
M, T, W, Th, F, Sa, Su


Report Available
Within 24 hours of receipt


Reference Range
Component Range
IgG <20.0 U/mL
IgM <20 U/mL


Clinical Significance
Acceptable initial test when antiphospholipid syndrome (APS) is strongly suspected.  May also be useful in estimating risk of thrombosis and/or pregnancy-related morbidity in patients with SLE.

Presence of moderate to high levels of B2GP1 IgG and or IgM antibodies (>40 U/mL) on two or more occasions at least 12 weeks apart is a laboratory criterion for the diagnosis of antiphospholipid syndrome (APS).  International reference materials and consensus of units for B2GP1 antibodies have not been established.  Strong clinical correlation is recommended for a diagnosis of APS.
 


Performing Laboratory
Alverno Central Lab



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.