Ordering Recommendation

Preferred first-line reflex panel for the evaluation of ANCA-associated vasculitis.

Mnemonic

ANCA-PN

Methodology

Semi-Quantitative Indirect Fluorescent Antibody/Semi-Quantitative Multiplex Bead Assay

Performed

Sun-Sat

Reported

2-5 days

New York DOH Approval Status

This test is New York DOH approved.

Specimen Required

Patient Preparation
Collect

Serum separator tube.

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Storage/Transport Temperature

Refrigerated.

Unacceptable Conditions

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

Remarks
Stability

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

Reference Interval

Test Number
Components
Reference Interval
3003747 Anti-Neutrophil Cytoplasmic Antibody, IgG by IFA
ANCA IFA Titer Less than 1:20
ANCA IFA Pattern None Detected

0050526 Myeloperoxidase (MPO) Antibody
Negative 19 AU/mL or less
Equivocal 20-25 AU/mL
Positive 26 AU/mL or greater

0050527 Serine Proteinase 3 (PR3) Antibody
Negative 19 AU/mL or less
Equivocal 20-25 AU/mL
Positive 26 AU/mL or greater

Interpretive Data

Refer to report.

Compliance Category

FDA

Note

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.

Hotline History

N/A

CPT Codes

83516 x 2; if reflexed, add 86255

Components

Component Test Code* Component Chart Name LOINC
0050526 Myeloperoxidase (MPO) Ab, IgG 6969-0
0050527 Serine Proteinase 3 (PR3) Ab, IgG 6968-2
* 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.

Aliases

  • (Perinuclear Antineutrophil Cytoplasmic Antibody
  • ACPA
  • ANCA
  • ANCA Panel, IgG
  • Anti-Neutrophil Cytoplasmic Ab Test
  • Anti-Neutrophil Cytoplasmic Antibodies Panel, IgG
  • Anticytoplasmic Antibody
  • Antineutrophil Cytoplasmic Antibodies (ACPA)
  • Autoantibodies to Proteinase 3
  • c ANCA (Anti-Neutrophil Cytoplasmic Antibody with Reflex to Titer & MPO/PR3 Antibodies)
  • c-ANCA
  • Cytoplasmic Neutrophil Antibodies; MPO)
  • p ANCA
  • P-ANCA
  • pANCA
  • PR3
  • Proteinase 3
Myeloperoxidase (MPO) Antibody and Serine Proteinase 3 (PR3) Antibody with Reflex to Anti-Neutrophil Cytoplasmic Antibody, IgG by IFA