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Labcorp Oklahoma, Inc.
Test Directory


Index:

Anti-Nuclear Antibody (ANA) Analyzer

Order Name ANA AN
Test Number: 5524250
Revision Date 02/10/2023
Test Name Methodology LOINC Code
Anti-Nuclear Antibody Screen (ANA) with Reflex to Titer
Indirect Fluorescent Antibody 8061-4 
SPECIMEN REQUIREMENTS
Specimen Specimen Volume (min) Specimen Type Specimen Container Transport Environment
Preferred 4.5mL (2mL) Serum Clot Activator SST Frozen
Alternate 1 4.5mL (2mL) Serum Clot Activator (Red Top, No-Gel) Frozen
Instructions Allow specimen to clot completely at room temperature.
Separate serum from cells ASAP or within 2 hours of collection and freeze for transport.
Stability After separation from cells: Ambient 8 hours, Refrigerated 48 hours, Frozen 3 months (avoid repeat freeze/thaw cycles).
 
GENERAL INFORMATION
Testing Schedule Mon - Fri 
Expected TAT 3-7 Days  
Clinical Use To aid in the diagnosis of Connective Tissue Disease. This analyzer follows an algorithm or cascade of tests based on the results of the screening ANA test. The following tests will be ordered based on the ANA pattern(s) and titer: Anti-ds DNA. Anti-RNP, Anti-Sm, Anti-SSA Ro52, Anti-SSA Ro60, Anti-SSB/La, Anti-SCL-70, C3, C4, Jo-1. 
Notes If ANA screen is positive >1:80; titer is automatically performed. ANA screening is done by IFA using HEp-2 Cells.
An ANA titer of 1:80 will be reported along with the pattern but no further testing will be initiated unless instructed otherwise.
See https://www.anapatterns.org/index.php for current clinical associations and identified patterns
CPT Code(s)

Initial Testing

Test Name CPT Codes
ANA Screen 86038
 

Possible Additional Testing

Test Name CPT Codes
ANA Titer and Pattern 86039
Anti-Ribonuclear Antibody 86235
Anti-Smith Antibody 86235
C3/C4 Complement 86160x2
Double Stranded DNA Antibody 86225
ENA Screen 86235
Jo-1 Antibody 86235
Scleroderma Antibody 86235
SSA/Ro52 Antibody (Sjogrens) 86235
SSA/Ro60 Antibody (Sjogrens) 86235
SSB/La Antibody (Sjogrens) 86235
Lab Section Immunology - Serology