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To view specimen requirements and codes please select your laboratory:

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Lupus (12) Panel

Test Code

10716

CPT Code(s)

83516, 86038, 86160 (x2), 86225, 86235 (x5), 86376, 86431

Includes

ANA Screen, IFA with Reflex to Titer and Pattern; Complement Component C3c and C4c; DNA (ds) Antibody; Ribosomal P Antibody; Sm Antibody; Sm/RNP Antibody; Sjögren’s Antibodies (SS-A, SS-B); Thyroid Peroxidase Antibody (TPO); Scleroderma Antibody (Scl-70); Rheumatoid Factor

If the ANA Screen is positive, ANA titer and pattern will be performed at an additional charge (CPT code(s): 86039).

Patient Preparation

Overnight fasting is preferred

Preferred Specimen(s)

4 mL serum

Minimum Volume

2 mL

Transport Container

Plastic screw-cap vial

Transport Temperature

Room temperature

Specimen Stability

Room temperature: 72 hours
Refrigerated: 7 days
Frozen: 30 days

Reject Criteria

Hemolysis • Gross lipemia • Grossly icteric • Plasma • Microbial contamination • Heat treated samples

Methodology

See individual analytes

Performing Laboratory

Quest Diagnostics-West Hills
8401 Fallbrook Avenue
West Hills, CA 91304-3226

Reference Range(s)

See individual analytes

LOINC®' Code(s)

The Result and LOINC information listed below should not be used for electronic interface maintenance with Quest Diagnostics. Please contact the Quest Diagnostics Connectivity Help Desk for more information at 800-697-9302.

NOTE: The codes listed in the table below are not orderable Test Codes.

Result
Code
Result NameLOINC CodeComponent Name
45061060RIBOSOMAL P ANTIBODY13636-6Ribosomal P Ab
45060420ANA SCREEN, IFA42254-3Nuclear Ab
45061010DNA (DS) ANTIBODY5130-0DNA double strand Ab
45009300COMPLEMENT COMPONENT C3C4485-9Complement C3
45009600COMPLEMENT COMPONENT C4C4498-2Complement C4
45003900RHEUMATOID FACTOR11572-5Rheumatoid factor
45061040SCL-70 ANTIBODY26975-3SCL-70 extractable nuclear Ab
45029100THYROID PEROXIDASE ANTIBODIES8099-4Thyroperoxidase Ab
45061025SM ANTIBODY43182-5Smith extractable nuclear Ab
45061030SM/RNP ANTIBODY14030-1Smith extractable nuclear Ab+Ribonucleoprotein extractable nuclear Ab
45061015SJOGREN'S ANTIBODY (SS-A)33569-5Sjogrens syndrome-A extractable nuclear Ab
45061020SJOGREN'S ANTIBODY (SS-B)45142-7Sjogrens syndrome-B extractable nuclear Ab

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

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.

LOINC assignment is based on a combination of test attributes, including the method used by the performing laboratory. For tests not performed by Quest Diagnostics, codes are assigned by the performing laboratory.

* The tests listed by specialist are a select group of tests offered. For a complete list of Quest Diagnostics tests, please refer to our Directory of Services.