Test Directory

Test Code
ANTCA
Test Name
Antineutrophil Cytoplasmic Antibody (ANCA) Profile
CPT Codes
83516 X 2, 86037 X 3
Included Tests
  • Perinuclear (P-ANCA)
  • Atypical pANCA
  • Anti-MPO Antibodies
  • Anti-PR3 Antibodies
  • Cytoplasmic (C-ANCA)


Expected Turnaround Time
4 - 7 days
Clinical Utility

For diagnosis and monitoring inflammatory activity in primary systemic small vessel vasculitides. The anti-PR3-ANCA Immunoassay is useful for confirming positive ANCA results by IFA, particularly with the cANCA pattern. Presence of anti-PR3 antibodies is highly specific for Wegener granulomatous (WG) disease, for which the sensitivity is reported to be 98%. Levels of anti-PR3 are elevated during active phases of disease and lower during remission. Monitoring anti-PR3 levels, therefore, can aid in disease management. The anti-MPO-ANCA Immunoassay is useful for confirming positive ANCA results by IFA, particularly with the P-ANCA pattern. Presence of anti-MPO antibodies is highly specific for idiopathic and vasculitis-associated crescentic glomerulonephritis, classic polyarteritis nodosa, Churg-Strauss syndrome, and polyangiitis overlap syndrome without renal involvement. Levels of anti-MPO are elevated during active phases of disease and lower during remission. Therefore, monitoring anti-MPO levels can aid in disease management.

Specimen and Container Info

Specimen Type: Serum

Collection Container: Gold Top, Serum Separator or Red Top, Plain

Desired Specimen Volume: 3 mL

Collection Instructions
  1. Collect a gold top, serum separator tube via venipuncture.
Processing and Submission Instructions
  1. Separate serum from cells.
  2. Transfer 3 mL of serum to a clear aliquot tube (screw cap).
Transport Instructions

Transport to the laboratory refrigerated. 

Stability Requirements

Room Temperature

14 days

Refrigerated

14 days

Frozen

14 days

Freeze/Thaw Cycles

Stable x3

Causes for Rejection
  • Hemolysis
  • Lipemia
  • Gross bacterial contamination
Methodology
Varies By Test
Reference Intervals

See patient report.

Alternate Names
  • MPO-ANCA
  • PR3-ANCA
Reference Lab
Labcorp Of America Holdings
Testing Schedule
Monday-Friday