Ordering Recommendation

Acceptable test to evaluate for suspected celiac disease (CD) in IgA-deficient individuals. Use in conjunction with Tissue Transglutaminase Antibody, IgG (0056009) is recommended.

The preferred test to screen for CD is Celiac Disease Reflexive Cascade, Serum (3016817).

New York DOH Approval Status

This test is New York state approved.

Specimen Required

Patient Preparation

Serum separator tube (SST).

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Transport 1.0 mL serum. (Min: 0.5 mL)

Storage/Transport Temperature


Unacceptable Conditions

Contaminated, grossly hemolyzed, grossly icteric, or grossly lipemic.


After separation from cells:  Ambient: 48 hours; Refrigerated: 1 week; Frozen: 15 days


Semi-Quantitative Particle-Based Multianalyte Technology (PMAT)




1-2 days

Reference Interval

Test Number
Reference Interval
  Deamidated Gliadin Peptide (DGP) Ab, IgG 0.00-4.99 FLU

Interpretive Data

In individuals with low or deficient IgA, testing for tissue transglutaminase (tTG) and deamidated Gliadin (DGP) antibodies of the IgG isotype is performed. A positive tTG and/or DGP IgG antibody results indicate celiac disease, however, small intestinal biopsy is required to establish a diagnosis due to the lower accuracy of these markers, especially in patients without IgA deficiency.

Compliance Category



The most sensitive and specific serologic test for celiac disease diagnosis is tissue transglutaminase (tTG) IgA isotype in individuals who produce sufficient total IgA. For individuals who are IgA deficient, testing for tTG and deamidated gliadin (DGP), IgG antibodies is recommended.

Preferred initial screening test for celiac disease diagnosis is the reflexive cascade (ARUP test code 3016817).

While ordering for celiac disease diagnosis, all serology tests should be performed while the patient is on a gluten-containing diet. Upon initiation of gluten-free diet, antibody titers decline in the treatment-responsive patients and the timeframe to normalize varies by case. If serology is negative and suspicion for celiac disease is strong, intestinal biopsy may still be warranted for establishing diagnosis.

Hotline History


CPT Codes



Component Test Code* Component Chart Name LOINC
0051359 Deamidated Gliadin Peptide (DGP) Ab, IgG 63459-2
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.


  • Celiac Disease Antibodies
  • Deamidated Gliadin Antibodies (DGP)
  • Deaminated Gliadin Peptide Antibodies
  • DGP
  • DGP Ab
  • DGP IgG
Deamidated Gliadin Peptide (DGP) Antibody, IgG