Extended Myositis Panel 2

Test Code

14293

CPT Codes
83516, 83516 (x8), 84182 (x7), 86039, 86235 (x6)<br>Restricted Client Code

Includes

Antibodies: Mi-2, PL-7, PL12, P155/140, EJ, Ku, OJ, PM/Scl, SRP, Smith/RNP, Ro52, Ro60, Jo-1, U3 Fib, SAE1, NXP2, MDA5, TIF1-gamma, ANA, Ha, Ks, Zo

Reflex Criteria:
If Antinuclear Antibody (ANA), HEp-2, IgG is Detected, Antinuclear Ab, Single Pattern will be performed at an additional charge (CPT(s): 86039) or Antinuclear Ab, Dual Pattern and Cytoplasmic Pattern may be performed at no additional charge.

If HMGCR antibody screen is positive, HMGCR antibody, IgG will be performed at an additional charge (CPT(s): 83516).

Preferred Specimen

1 mL serum

Minimum Volume

0.5 mL

Instructions

Separate from cells ASAP or within 2 hours of collection. Transfer 4 mL serum to ARUP standard transport tube.

Transport Container

Transport tube

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

Room temperature: 48 hours
Refrigerated: 2 weeks
Frozen: 1 month

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

Contaminated • Heat-inactivated • Clots • Fibrin • Gross red blood cells • Grossly lipemic • Hemolysis • Icteric specimens

Methodology
Qualitative Immunoblot • Qualitative Immunoprecipitation • Semi-Quantitative Enzyme-Linked Immunosorbent Assay • Semi-Quantitative Indirect Fluorescent Antibody • Semi-Quantitative Multiplex Bead Assay

FDA Status
This test was developed and its performance characteristics determined by ARUP Laboratories. It has not been cleared or approved by the US Food and Drug Administration. This test was performed in a CLIA certified laboratory and is intended for clinical purposes.

Setup Schedule

Set up: Daily; Report available: 7-18 days

Reference Range

See Laboratory Report

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.