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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)