Antiphospholipid Antibodies

Last Modified: 4/8/2019 12:34:06 PM


Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 1.0 mL Serum in a SST Gold Top Tube
Collection Instructions:  
Minimum Volume: 0.2 mL Serum
Transport & Storage: Temperature/Stability: 48 hours Refrigerated
2 months Frozen
Reference Range: Cardiolipin IgA Autoantibodies: <12 APL U/mL
Cardiolipin IgG Autoantibodies: <15 GPL U/mL 
Cardiolipin IgM Autoantibodies: <12.5 MPL U/mL

Phosphatidylserine IgA Autoantibodies: < 20.0 APS U/mL
Phosphatidylserine IgG Autoantibodies: <11.0 GPS U/mL
Phosphatidylserine IgM Autoantibodies: < 25.0 MPS U/mL
Critical Ranges:  
Test Comments:  
Methodology: EIA
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Turn Around Time: 7 days
Days Performed: Tuesday, Wednesday
Sites Performed: Parkview Regional Medical Center
PHL Test Code: APSNG
EPIC Test Code: IMO157
Alternate Test Names: Antiphospholipid Eval w/o LA; Antiphospholipid Syndrome Evaluation without LA ; Antiphospholipid Syndrome Evaluation without Lupus; APS Eval no Lupus Anticoagulant; APS Eval serum only
Included Tests: Cardiolipin IgA Autoantibodies, Cardiolipin IgG Autoantibodies, Cardiolipin IgM Autoantibodies, Phosphatidylserine IgA Autoantibodies, Phosphatidylserine IgG Autoantibodies, Phosphatidylserine IgM Autoantibodies
CPT Coding: 86147 x 3, 86148 x 3

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