B2 Glycoprotein I Antibody, IgG and IgM Classification

Message
Performed in the Hematology Laboratory x5475, 76.
Can combine with ACA  (Anti Cardiolipin Antibody test)


Test Code
B2GAB


Alias/See Also
B2 GPI


CPT Codes
86146

Includes
B2 Glycoprotein I  IgG and IgM quantitation


Preferred Specimen
Plasma


Minimum Volume
2.7 mL.  Sample must be drawn to minimum fill line on tube or the sample will be rejected as QNS.


Instructions
Sample can also be used for ACA (Anticardiolipin Assay)


Transport Container
2.7 mL sodium citrate Blue Top tube


Transport Temperature
Room  Temperature


Specimen Stability
Sample should be spun upon receipt.  Plasma is stable:
Room temperature:  8 hours
Refrigerated at 2-8° C :  48 hours
Frozen at  -70° C : 6 months


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


Methodology
ELISA technique is used to detect antibodies to B2 Glycoprotein I  

Setup Schedule
1x / week,  weekdays  between 8-4 pm.  Sample is frozen until testing is performed.


Limitations
When negative anti-b2GPI titers are found in the presence of clinical indications,  lupus anticoagulant, anticardiolipin, or other additional testing is indicated. Diagnosis can not be made on the basis of anti-B2GPI testing alone; results must be interpreted in conjunction with physical findings.   


Reference Range

IgG:  0-20 SGU
IgM:  0-20 SMU




Clinical Significance
Marker for thrombotic risk, used in conjunction with ACA (Anti Cardiolipin  Antibodies)




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.