Lupus Panel 4 with ANA, IFA with Reflex to Titer and Pattern

Lupus Panel 4 with ANA, IFA with Reflex to Titer and Pattern

Test Code

10716
83516, 86038, 86160 (x2), 86225, 86235 (x5), 86376, 86431
10716
83516, 86038, 86160 (x2), 86225, 86235 (x5), 86376, 86431
In-home collection is not available in your area through Quest Mobile.

Clinical Significance

Lupus Panel 4 with ANA, IFA with Reflex to Titer and Pattern -

This panel can be helpful in the diagnosis of systemic lupus erythematosus (SLE) and several other autoimmune diseases, including mixed connective tissue disease, Sjogren syndrome, systemic sclerosis, and autoimmune thyroid disease. The panel simultaneously tests for antinuclear antibodies (ANAs) with an immunofluorescence assay (IFA), performed on human epithelial type 2 (HEp-2) cells, and 11 biomarkers associated with these conditions. For specimens with positive ANA IFA results, reflex testing for ANA titer and pattern is performed.

The ANA testing has high sensitivity (97%) for SLE ...

Test Resources

Test Details

Includes

  • ANA Screen, IFA with Reflex to Titer and Pattern
  • Complement Component C3c and C4c
  • DNA (ds) Antibody
  • Ribosomal P Antibody
  • Sm Antibody
  • Sm/RNP Antibody
  • Sjogren’s Antibodies (SS-A, SS-B)
  • Thyroid Peroxidase Antibody (TPO)
  • Scleroderma Antibody (Scl-70)
  • Rheumatoid Factor
  •  
  • If the ANA Screen, IFA is positive, then ANA Titer and Pattern will be performed at an additional charge (CPT code(s): 86039).

Methodology

Immunoassay (IA) • Immunoturbidimetric Assay

Reference Range(s)

See individual tests

Alternative Name(s)

Systemic Lupus Erythematosus (SLE),FANA,Antinuclear Antibody Screen,Fluorescent ANA,Hep-2,Progressive ANA,Thyroiditis

LOINC® Codes, Performing Laboratory

ANA Screen, IFA with Reflex to Titer and Pattern
Complement Component C3c and C4c
DNA (ds) Antibody
Ribosomal P Antibody
Sm Antibody
Sm/RNP Antibody
Sjogren’s Antibodies (SS-A, SS-B)
Thyroid Peroxidase Antibody (TPO)
Scleroderma Antibody (Scl-70)
Rheumatoid Factor

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

Methodology

Immunoassay (IA) • Immunoturbidimetric Assay

Reference Range(s)

See individual tests

Alternative Name(s)

Systemic Lupus Erythematosus (SLE),FANA,Antinuclear Antibody Screen,Fluorescent ANA,Hep-2,Progressive ANA,Thyroiditis

Preferred Specimen(s)

4 mL serum

Minimum Volume

2 mL

Transport Container

Transport tube

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

  • Room temperature: Unacceptable
    Refrigerated: 7 days
    Frozen: 8 days

Reject Criteria

Gross hemolysis • Grossly lipemic • Grossly icteric

Setup Schedule

4 mL serum
2 mL
Transport tube
Refrigerated (cold packs)
Room temperature: Unacceptable
Refrigerated: 7 days
Frozen: 8 days
Gross hemolysis • Grossly lipemic • Grossly icteric
In-home collection is not available in your area through Quest Mobile.
Test Details

Clinical Significance

Test Resources

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

The CPT codes provided are based on AMA guidance and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

This material contains content from LOINC® (http://loinc.org). The LOINC Table, LOINC Table Core are copyright © 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license.

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