HLA-B27 Antigen

Message
SRHC Clients:
  • 1 yellow top ACD-B tube or 1 yellow top ACD-A tube
  • 1 lavender  (EDTA ) or 1 dark green (Sodium heparin) tube also acceptable
  • DO NOT CENTRIFUGE
  • Transport to SRHC laboratory same day as collected at room temperature or refrigerated 


Test Code
LAB869


Quest Code
528


Alias/See Also
Ankylosing Spondylitis


CPT Codes
86812<br><strong>This test code is for non-New York patient testing. For New York patient testing, use test code 93099.</strong>

Preferred Specimen
6 mL whole blood (1 mL minimum)


Minimum Volume
1 mL


Other Acceptable Specimens
Whole blood collected in: Acid citrate dextrose ACD-A or B (yellow-top), or EDTA (lavender-top) tube


Transport Temperature
  •  Room temperature or refrigerated


Specimen Stability
Room temperature: 7 days
Refrigerated: 5 days
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolysis • Lithium heparin (green-top) tube • Clotted • Received frozen


Methodology
Flow Cytometry (FC)

Setup Schedule
Set up: Mon-Sat; Report available: 2-4 days


Reference Range

Negative



Clinical Significance
HLA-B27 is found in 90% of patients with ankylosing spondylitis and 80% in Reiter's disease. Ankylosing spondylitis affects 1 in 1000 caucasians. Ankylosing spondylitis is 10 times more common among individuals with HLA-B27 compared to individuals without this antigen.


Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153



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.