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RPR with Reflex Titer 799
Test CodeRPRT
Alias/See Also
RPRT
CPT Codes
86592
Includes
RPR is reactive a titer will be performed
Preferred Specimen
1 mL serum
Minimum Volume
1
Instructions
Draw one SST and send serum at refrigerated
Transport Container
SST
Transport Temperature
R
Specimen Stability
Room temperature: 4 days
Refrigerated: 7 days
Frozen: 30 days
Refrigerated: 7 days
Frozen: 30 days
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis • Grossly lipemic
Methodology
Flocculation
Setup Schedule
Set up: Mon, Wed-Sat; Report available: 1-3 days
Limitations
False-positive results have been associated in patients with infections, pregnancy, autoimmune disease, old age, Gaucher disease, and malignancy.
Reference Range
Non-Reactive
Clinical Significance
This is a nontreponemal (lipoidal antigen) serologic test used to monitor patients diagnosed with syphilis. RPR reactive samples will be reflexed to titer. Titer results may correlate with disease activity and typically decrease in response to treatment.
Serologic evaluation is recommended at 6 to 12 months for primary and secondary syphilis. Follow-up testing should be performed using the same nontreponemal (lipoidal antigen) test and be performed by the same laboratory so that results are comparable over time.
True positive results with nontreponemal (lipoidal antigen) tests may occur due to wide range of biological conditions (e.g., autoimmune disease, cancer, infectious diseases, old age, and pregnancy).
Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153

