PrEP RPR (Diagnosis) with Reflex Titer and Treponema pallidum Antibody, IA

Test Code
13698


CPT Codes
86592

Includes
If RPR screen is Reactive, then RPR Titer and Treponema pallidum Antibody, IA for Confirmatory testing will be performed at an additional charge (CPT Code(s): 86593, 86780).


Preferred Specimen
3 mL serum


Minimum Volume
1 mL


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 4 days
Refrigerated: 7 days
Frozen: 30 days


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


Methodology
Flocculation

Setup Schedule
Set up: Mon, Wed- Sat; Report available: 1-3 days


Reference Range
PrEP RPR(DX) w/Rfl Titer and Confirm TestNon-Reactive
  PrEP RPR TiterNot applicable
  PrEP Treponema pallidum AbNegative


Clinical Significance
RPR is a nontreponemal (lipoidal antigen) test used to screen for syphilis. Positive RPR samples are reflexed to determine titer and to a confirmatory treponemal assay as part of the traditional algorithm. False positive results associated with various medical conditions, including other infections (e.g., HIV), autoimmune conditions, vaccinations, injecting drug use, pregnancy, and older age may occur with the RPR test.

This assay may be performed as part of an overall screening regimen for patients considering or who are currently taking HIV PrEP. Please refer to the "Preexposure Prophylaxis for the Prevention of HIV Infection in the United States - 2021 Update Clinical Practice Guideline" for additional information.




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.