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16814: ANA Screen,IFA,with Reflex Titer/Pattern, and Reflex Multiplex 11 Ab Cascade Print View
ANA Screen, IFA IFA     
Interpretation      

PRIMARY
1 Serum 1 (0.2) mL   Frozen - 30 Day(s)/Refrigerated - 7 Day(s)/Room Temperature - 4 Day(s)  
ALTERNATE

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.
Setup Schedule
Monday-Saturday

Reported (Analytical Time)
Same day

CPT Code
86038

The CPT codes provided 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 payer being billed.

Notes
Transport Temperature: Room temperature
Reject Criteria: Gross hemolysis; hyperlipemic
Methodology: Immunofluorescence Assay
Reflex Criteria:
The ANA IFA with reflex to titer/pattern/Cascade begins with an ANA (Anti-Nuclear Antibody) IFA Screen. If the ANA IFA Screen is positive then an ANA Titer and Pattern will be performed at an additional charge. Additionally, five antibodies will be performed at an additional charge: dsDNA, Sm/RNP, RNP, Sm and Chromatin. If any of those five antibodies are positive, the cascade stops and the results are reported. If all five of those antibodies are negative, four additional antibodies will be performed at an additional charge: SSA, SSB, Scl-70, and Jo-1. If any of those four antibodies are positive, the cascade stops and the results are reported. If all four of those antibodies are negative, the following two additional antibodies will be performed at an additional charge:
Ribosomal P and Centromere B. Please note the cascade stops upon the first positive antibody result(s) found in a group and an interpretive message is applied based on this information. It is possible that antibodies in subsequent groups are also positive, but will not be added, billed, or reported. Please contact your local Quest Diagnostics Laboratory if you are interested in adding this additional testing.






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