Myeloperoxidase (MPO) Antibody and Serine Proteinase 3 (PR3) Antibody with Reflex to Anti-Neutrophil Cytoplasmic Antibody, IgG by IFA ANCAPN

Method(s) Semi-Quantitative Indirect Fluorescent Antibody/Semi-Quantitative Multiplex Bead Assay
Specimen Required
Collect

One 5 mL gold (SST) top tube.

Transport

Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum, refrigerated (Min: 0.5 mL)

Stability

(collection to initiation of testing): After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)

Unacceptable Conditions

CSF, plasma, urine or other body fluids. Contaminated, hemolyzed, or severely lipemic specimens.

Schedule Daily
Billing Code 5011951
CPTCode 83516 x 2; if reflexed, add 86255
Notes If MPO and/or PR3 results are equivocal or positive, then ANCA by IFA will be added. Additional changes apply. Specimens are screened by IFA on ethanol-fixed neutrophils, formalin-fixed neutrophils, and HEp-2 slides that allow differentiation of C- and P-ANCA patterns.
Preferred Specimen Collection Device(s)
Reference Interval
ComponentsReference Interval
ANCA IFA TiterLess than 1:20 
ANCA IFA PatternNon Detected 
Myeloperoxidase (MPO) Ab, IgGNegative19 AU/mL or less
 Equivocal20-25 AU/mL
 Positive26 AU/mL or greater
Serine Proteinase 3 (PR3) Ab, IgGNegative19 AU/mL or less
 Equivoal20-25 AU/mL
 Positive26 AU/mL or greater
No Appointment Necessary
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12 Patient Service Centers in Central New York.

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