Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Order Display Name: Geisinger Epic Procedure Code Or ID CPT Code:  

ANA ELISA SCREEN WITH REFLEX TO IFA

ORDERING INFORMATION:
Geisinger Epic Procedure Code: LAB1767         Geisinger Epic ID: 39212

SPECIMEN COLLECTION
Specimen type:
Serum
Preferred collection container:
Alternate Collection Container:
6 mL red-top (plain, non-serum separator) tube
Specimen required:
0.5 mL serum; minimum 0.2 mL

SPECIMEN PROCESSING
Specimen processing instructions:
Allow to clot. Centrifuge and submit 0.5 mL serum. 
Transport temperature:
Refrigerated (preferred). Room temperature (stable 8 hours) and frozen specimens also acceptable.
Specimen stability:
Room temperature: 8 hours. Refrigerated 2-8°C: 4 days (96 hours). Frozen: 6 months.
Rejection criteria:
Specimen stability exceeded; specimen grossly hemolyzed.

TEST DETAILS
Reference interval:
Negative.
CPT code(s):
86038
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.  The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.
Test includes:
ANA ELISA screen; titer and pattern by IFA if screen positive. Patients who are screen-negative will have no further testing performed. Patients who are screen-positive will have a confirmatory slide test (IFA) performed with results that include titer and pattern (when applicable). Some patients may have a positive screen but a negative confirmatory test (< 1:40) due to other interfering substances.
Methodology:
Indirect Immunofluorescent Antibody (IFA)
Enzyme-Linked Immunosorbent Assay (ELISA)
Synonyms:
ANA, FANA, Fluorescent Antinuclear Antibody
Antinuclear antibody screen
ANAAB
Clinical significance:
The presence of ANA antibodies in correlation with clinical findings and other laboratory tests can aid in the diagnosis of certain rheumatic diseases including systemic lupus erythematosus (SLE), Sjogren's syndrome, mixed connective tissue disease, scleroderma, drug-induced lupus, and rheumatoid arthritis.
Doctoral Director(s:)
Hoi-Ying Elsie Yu, PhD, DABCC
Stacy Kenyon, PhD, DABCC
   
Review Date: 11/22/2020

Performing Locations

Geisinger Medical Center

Performing laboratory: Immunology
Technical Lead: Kathy Hurst
Frequency: Tuesday through Saturday, 1st shift
Performed stat? No
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