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Specimen Collection Manual and Test Catalog

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INFLAMMATORY BOWEL DISEASE DIFFERENTIATION PANEL

Geisinger Epic Procedure Code:  LAB1096    Geisinger Epic ID:  52309

SPECIMEN COLLECTION
Specimen type: 

Serum


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

2 mL serum; minimum 1.4 mL



SPECIMEN PROCESSING
Processing instructions: 

Centrifuge and aliquot.


Transport temperature: 

Room temperature.


Specimen stability: 

Room temperature: 7 days. Refrigerated: 14 days. Frozen: 21 days.



TEST DETAILS
CPT code(s):  86021 (x2), 86036, 86671 (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: 

ANCA Screen with Reflex to ANCA Titer, Myeloperoxidase Antibody (MPO), Proteinase-3 Antibody, Saccharomyces cerevisiae Antibodies (ASCA) (IgG), Saccharomyces cerevisiae Antibodies (ASCA) (IgA). 
If ANCA Screen is positive, then C-ANCA Titer and/or P-ANCA Titer, and/or atypical P-ANCA Titer will be performed at an additional charge (CPT code(s): 86021 for each titer performed).


Methodology: 
Immunoassay
Synonyms: 

Quest test code 16503, IBD Panel


Clinical significance: 

These tests are intended to aid in the diagnosis of Crohn's Disease. A positive P-ANCA aids in the differentiation of patients with ulcerative colitis.


Review Date:  12/09/2024

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