ANAchoice™ Screen with Reflex to Titer, IFA (IFAANA)

If ANAchoice™ Screen is positive, ANA Titer and Pattern (CPT code(s): 86039) will be performed at an additional charge.

Test Code

Quest Code

Alias/See Also

CPT Codes

If ANA Screen, IFA is positive, then ANA Titer and Pattern will be performed at an additional charge (CPT code(s): 86039).

Preferred Specimen
1 mL serum in gold top tube

Minimum Volume
0.5 mL

Other Acceptable Specimens
Plain red top tube

Transport Container
Plastic screw-cap vial

Transport Temperature
Room temperature

Specimen Stability
Room temperature: 4 days
Refrigerated: 7 days
Frozen: 30 days

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis • Grossly lipemic • Microbial contamination may interfere

Immunofluorescence Assay (IFA)

Setup Schedule
Day shift Monday-friday

Report Available
4 days

Reference Range
ANA Screen Negative
  ANA Titer  
  <1:40 Negative
  1:40-1:80 Low antibody level
  >1:80 Elevated antibody level

Clinical Significance
Antinuclear antibodies are associated with rheumatic diseases including Systemic Lupus Erythematous (SLE), mixed connective tissue disease, Sjogren's syndrome, scleroderma, polymyositis, CREST syndrome, and neurologic SLE.

Performing Laboratory
Quest Diagnostics - South Region

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.