Primary Antibody Deficiency Panel, Sequencing and Deletion/Duplication
Ordering Recommendation
Use to determine the genetic etiology of disease in individuals with a suspected or confirmed diagnosis of a primary antibody deficiency (eg, agammaglobulinemia, hyper-IgM syndrome, or common variable immunodeficiency). This test does not analyze B-cell expression or immunoglobulin levels and is not recommended for individuals who have not had previous clinical testing for immunodeficiencies.
New York DOH Approval Status
Specimen Required
Lavender or pink (EDTA) or yellow (ACD solution A or B).
Transport 3 mL whole blood. (Min: 3 mL)
New York State Clients: 5 mL (Min: 3 mL)
Refrigerated.
Serum or plasma; grossly hemolyzed or frozen specimens; saliva, buccal brush, or swab; FFPE tissue.
Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
New York State Clients: Ambient: 48 hours; Refrigerated: 1 week; Frozen: Unacceptable
Methodology
Massively Parallel Sequencing / Sequencing
Performed
Varies
Reported
14-21 days
Reference Interval
Refer to report
Interpretive Data
Refer to report.
Laboratory Developed Test (LDT)
Note
Genes Tested: ADA ; ADA2 ; AICDA ; ATM ; ATP6AP1 ; BLNK ; BTK ; CARD11 ; CD19 ; CD27 ; CD40 ; CD40LG ; CD70 ; CD79A ; CD79B ; CDCA7 ; CR2 ; CTLA4 ; CXCR4 *; DCLRE1C *; DNMT3B ; GATA2 ; HELLS ; ICOS ; IGHM ; IGLL1 ; IKZF1 ; IL21R ; KDM6A ; KMT2D ; LRBA ; MOGS ; MS4A1 ; NBN ; NFKB1 ; NFKB2 ; NFKBIA **; PIK3CD ; PIK3R1 ; PLCG2 ; PRKCD ; RAC2 ; RAG1 ; RAG2 ; RNF168 ; SH2D1A ; STAT3 ; TCF3 **; TNFRSF13B ; TRNT1 ; TTC37 ; UNG ; XIAP *; ZBTB24
*One or more exons are not covered by sequencing for the indicated gene; see limitations section below.
**Deletion/duplication analysis is not available for this gene.
When testing cord blood specimens, the presence of maternal cell contamination (MCC) is possible, which may impact result interpretation. If clinically warranted, testing for MCC is available, at a charge, through ARUP Laboratories.
Hotline History
CPT Codes
81403; 81404; 81405; 81406; 81408; 81479
Components
| Component Test Code* | Component Chart Name | LOINC |
|---|---|---|
| 2011220 | Primary Antibody Deficiency Specimen | 31208-2 |
| 2011223 | Primary Antibody Deficiency Panel Interp |
Aliases
- Agammaglobulinemia
- Anti-polysaccharide antibody deficiency
- Autoimmune conditions
- B-cell deficiency
- BAFFR
- CD20
- CD21
- CD45
- Common variable hypogammaglobulinemia
- Common variable immune deficiency
- Common variable immunodeficiency
- CVID
- Genetic antibody deficiency
- HIGM syndrome
- HIGM1
- HIGM2
- HIGM3
- HIGM4
- HIGM5
- Hyper-IgM syndrome
- Hypogammaglobulinemia
- IgA deficiency
- IgG deficiency
- IgG subclass deficiency
- Immunoglobulin class-switch deficiency
- Lambda-5
- Late-onset combined immunodeficiency
- Late-onset immunoglobulin deficiency
- NEMO
- Panhypogammaglobulinemia
- Recurrent infections
- Selective antibody deficiency
- Selective IgA deficiency
- Selective IgM deficiency
- TACI
















