Test Code RAP Rheumatoid Profile/Immune Survey, Serum
Performing Laboratory
MaineGeneral Medical Center
Reference Values
See individual test listings.
Methodology
Profile Information: | |
Antinuclear Antibodies (ANA) | Immunoglobulin A (IgA) |
Complement C3 | Immunoglobulin G (IgG) |
Complement C4 | Immunoglobulin M (IgM) |
C-Reactive Protein (CRP) | Protein, Total |
Electrophoresis, Protein CCP-cyclic citrullinated peptide antibodies |
Rheumatoid Factor |
Reflex Algorithm:
Note: If ANA is positive, DsDNA, ANA titer and pattern may be performed at an additional charge. Electrophoresis, protein; may also reflex to immunofixation, IgG, IgA, or IgM.
Specimen Requirements
Draw blood in a serum gel tube(s). (Green-top [heparin] tube, grossly hemolyzed or lipemic specimen is not acceptable.) For pediatric specimen, draw blood in a red-top MICROTAINER(S)®. Spin down and send 2 mL of serum refrigerated. If there is a delay in transport of ≥24 hours, send specimen frozen in plastic vial.
Note: 1. If multiple myeloma is suspected, please indicate.
2. Specimens suspected of having macroglobulins or cryoglobulins should be drawn, held, and transported to the laboratory at 37° C. Specimens suspected of containing cold agglutinins should not be refrigerated prior to or following centrifugation and transportation to the laboratory.
3. Patient’s age is required on request form for processing.
4. Label specimen with patient’s name (first and last), date of birth, date and time of draw, and phlebotomist’s initials.
Day(s) Test Set Up
Antinuclear antibodies (ANA); complement C3; complement C4; electrophoresis, protein; immunoglobulin A (IgA); immunoglobulin G (IgG); immunoglobulin M (IgM); rheumatoid Factor: Monday through Friday
C-reactive protein (CRP); protein, total: Monday through Sunday
CCP (ccclic citrullinated peptide antibodies) Twice weekly
Test Classification and CPT Coding
84165 - electrophoresis
86038 - ANA
86140 - CRP
86160 x 2 - C3 and C4
86430 - rheumatoid factor
82784 x 3 - IgA, IgG, and IgM (if appropriate)
86255 - dsDNA (if ANA positive)
86334 - immunofixation (if appropriate)
86039- ANA titer (if appropriate)
86200- CCP (cyclic citrullinated peptide AB)