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ANA,IFA SJOGRENS PANEL W/RFX TO ANA TITER AND PATTERN

Test Code

90077X

Includes

ANA Screen, IFA with Reflex to Titer and Pattern, IFA; Sjögren's Antibodies (SS-A, SS-B); Rheumatoid Factor

If ANA Screen, IFA is positive, ANA Titer and Pattern will be performed at an additional charge (CPT code(s): 86039).

Preferred Specimen(s)

(47445) ANA IFA SCREEN WITH REFLEX TO TITER
SR
1 ML SERUM
(55662) SJOGREN'S ANTIBODIES (SS-A,SS-B)
SR
1 ML SERUM
(55960) RHEUMATOID FACTOR (RF)
SR
1 ML SERUM

Minimum Volume

(47445) ANA IFA SCREEN WITH REFLEX TO TITER
1.0 ML
(55662) SJOGREN'S ANTIBODIES (SS-A,SS-B)
0.5 ML
(55960) RHEUMATOID FACTOR (RF)
0.5 ML

Alternative Specimen(s)

(47445) ANA IFA SCREEN WITH REFLEX TO TITER
SERUM SEPARATOR (SST)

Transport Container

(47445) ANA IFA SCREEN WITH REFLEX TO TITER
RED TOP
(55662) SJOGREN'S ANTIBODIES (SS-A,SS-B)
SERUM SEPARATOR (SST)
(55960) RHEUMATOID FACTOR (RF)
SERUM TRANSPORT TUBE

Transport Temperature

(47445) ANA IFA SCREEN WITH REFLEX TO TITER
ROOM TEMPERATURE
(55662) SJOGREN'S ANTIBODIES (SS-A,SS-B)
ROOM TEMPERATURE
(55960) RHEUMATOID FACTOR (RF)
ROOM TEMPERATURE

Specimen Stability

(47445) ANA IFA SCREEN WITH REFLEX TO TITER
ROOM TEMPERATURE: 4 DAYS
REFRIGERATED: 7 DAYS
FROZEN: 30 DAYS
(55662) SJOGREN'S ANTIBODIES (SS-A,SS-B)
ROOM TEMPERATURE: 4 DAYS
REFRIGERATED: 7 DAYS
FROZEN: 30 DAYS
(55960) RHEUMATOID FACTOR (RF)
ROOM TEMPERATURE: 3 DAYS
REFRIGERATED: 1 WEEK
FROZEN: 3 MONTHS

Methodology

(47445) ANA IFA SCREEN WITH REFLEX TO TITER
IFA
(55662) SJOGREN'S ANTIBODIES (SS-A,SS-B)
IMMUNOASSAY
(55960) RHEUMATOID FACTOR (RF)
IMMUNOTURBIDOMETRIC

Performing Laboratory

Quest Diagnostics
3714 Northgate Blvd
Sacramento, CA 95834

Setup Time

(55662) SJOGREN'S ANTIBODIES (SS-A,SS-B)
1ST SHIFT
(55960) RHEUMATOID FACTOR (RF)
1ST SHIFT

Setup Days

(47445) ANA IFA SCREEN WITH REFLEX TO TITER
TUES - SAT
(55662) SJOGREN'S ANTIBODIES (SS-A,SS-B)
MON - FRI
(55960) RHEUMATOID FACTOR (RF)
MON - FRI

Report Available

(47445) ANA IFA SCREEN WITH REFLEX TO TITER
48 HOURS
(55960) RHEUMATOID FACTOR (RF)
24 HOURS

Reference Range(s)

ANA Screen, IFA Negative
ANA Titer  
  <1:40 Negative
  1:40-1:80 Low antibody level
  >1:80 Elevated antibody level
Sjögren's Antibody (SS-A) <1.0 Negative AI 
Sjögren's Antibody (SS-B)  <1.0 Negative AI
Rheumatoid Factor <14 IU/mL

Clinical Significance

This assay may be useful in supporting or ruling out a diagnosis of Sjögren's syndrome.

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
47510ANTI-NUCLEAR AB (IFA)42254-3Nuclear Ab
55960RHEUMATOID FACTOR (RF)11572-5Rheumatoid factor
55655SSA33569-5Sjogrens syndrome-A extractable nuclear Ab
55660SSB45142-7Sjogrens 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.