Last Modified:
12/28/2023 6:45:30 AM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
1.0 mL Serum from a Red Top Tube in a Plastic Vial
Collection Instructions:
Minimum Volume:
0.1 mL Serum
Transport & Storage: Temperature/Stability:
7 days Ambient (Transport)
14 days Refrigerated
30 days Frozen
Rejection Criteria:
Gross hemolysis; gross lipemia
Reference Range:
Negative
Critical Ranges:
Test Comments:
If Smooth Muscle Ab Screen is positive, non-orderable code 36206 (Smooth Muscle Ab Titer) will be performed at an additional charge (CPT 86015)
Methodology:
Immunofluorescence Assay
Clinical Significance:
Smooth muscle antibodies are detected in 85% of patients with chronic active hepatitis and in less than 50% of patients with primary biliary cirrhosis. Smooth muscle antibodies are usually negative in extrahepatic biliary obstruction, drug induced liver disease, viral hepatitis
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
2 days
Days Performed:
Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Quest - Chantilly to San Juan Capistrano
PHL Test Code:
SMTA
EPIC Test Code:
IMO2589
Send Out Test Code:
263
Alternate Test Names:
Muscle Total Autoantibodies; Smooth Muscle Total Autoantibodies
Included Tests:
CPT Coding:
86015 R 86015
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