ANA Reflex to Profile

Message
CMC Quest Custom Panel 38681


Test Code
ANA2R, ANAWR


Alias/See Also
ANA2R, ANAWR (EPIC Code)  ANASC, Antinuclear Antibody
EPIC CODE:  ANAWR


CPT Codes
86039, Additional CPT charges if ANA is positive and reflex occurs

Includes
Custom Panel.  If ANA is Positive, reflexes to
  • ANART:  ANA Titer and Pattern (249)
  • ADSD:  Doublestrand DNA Autoantibodies (3174)
  • U1RNP:  SM/RNP Antibody  (38567)
  • SSAB2:  Sjogren's Antibodies  (ASSA, ASSB)  (7832)
  • SMIGG SM/Smith IgG Antibody (37923)
  • SCL70:  CSL-70 IgG Autoantibody  (4942)
  • CENAB:  Centromere B Antibody  (16088)
  • RIBP:  Ribosomal P Antibody (34283)


Preferred Specimen
Serum (GOLD)
Collect two (2) Gold tubes (5 ml)


Minimum Volume
6.0 mL Serum (to ensure adequate specimen for all reflex tests)


Transport Temperature
Room temperature: 4 days
Refrigerated: 7 days
Frozen: 30 days
 


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis • Grossly lipemic • Gross icterus


Report Available
1 to 3 Day(s)


Reference Range
Refer to individual tests


Clinical Significance
Refer to individual tests

The ANA test is one of the primary tests for helping to diagnose a suspected autoimmune disorder or rule out other conditions with similar signs and symptoms. The ANA test may be positive with several autoimmune disorders. Patients with the autoimmune disorder systemic lupus erythematosus (SLE) are almost always positive for ANA, but the percentage of patients with other autoimmune disorders who have positive ANA results varies. Also, a significant number of patients with a variety of other types of disorders (and even some healthy people) may be positive for ANA, especially at low levels.


Performing Laboratory
Quest Diagnostics Nichols Institute
27027 Tourney Road
Valencia, CA 91355-5386



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.