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Specimen Collection Manual and Test Catalog

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RNP AND SM ANTIBODIES

Geisinger Epic Procedure Code:  LAB3020    Geisinger Epic ID:  15175

SPECIMEN COLLECTION
Specimen type: 

Serum


Preferred collection container: 
Alternate collection container: 
6 mL red-top (plain, non-serum separator) tube
Specimen required: 

0.5 mL serum; minimum 0.2 mL



SPECIMEN PROCESSING
Processing instructions: 

Allow to clot. Centrifuge and submit 0.5 mL serum.


Transport temperature: 

Refrigerated (preferred). Room temperature (stable 8 hours) and frozen specimens also acceptable.


Specimen stability: 

Room temperature: 8 hours. 2-8°C: 48 hours. Frozen: 6 months.


Rejection criteria: 

Specimen stability exceeded; specimen grossly hemolyzed.



TEST DETAILS
Reference interval: 

RNP: Negative <5 U/mL 
Sm: Negative <7 U/mL


Interpretation guide: 

RNP: 
   Negative <5 U/mL 
   Equivocal 5-10 U/mL 
   Positive >10 U/mL 
Sm: 
   Negative <7 U/mL
   Equivocal 7-10 U/mL
   Positive >10 U/mL


CPT code(s):  86235 x2
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.
The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.

Test includes: 

RNP Antibody, SM Antibody


Methodology: 
Enzyme Immunoassay (EIA)
Synonyms: 

SM/RNP Antibodies, RNP/SM Antibodies, RNPSM, Smith antibody, riboncleoprotein antibody


Clinical significance: 

Positive RNP, U1 RNP (RNP70, A, C) and SM antibodies can be used in conjunction with clinical findings and other laboratory tests to aid in the diagnosis of systemic lupus erythematosus (SLE) and other related connective tissue diseases. SM antibodies are highly specific for SLE and are detected in approximately 15% of patients with SLE.


Doctoral Director(s): 
Benjamin Andress, PhD, DABCC
Hoi-Ying Elsie Yu, PhD, DABCC, FADLM
Review Date:  11/20/2024

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