ANA Screen, IFA, with Reflex to Titer and Pattern/Rheumatoid Arthritis Panel 1


CPT Code: 86038, 86200, 86431 (86039 ANA Titer and Pattern, if reflexed)
Order Code: 90071
Includes: ANA Screen by IFA, Cyclic Citrullinated Peptide (CCP) Antibody (IgG), Rheumatoid Factor.
If ANA Screen by IFA is positive, then ANA Titer and Pattern will be performed at an additional charge (CPT Code: 86039).
ABN Requirement:
Specimen: Serum
Volume:  3.0 mL
Minimum Volume:  1.5 mL
Container: Gel-barrier tube (SST, Tiger Top)


  1. Collect and label sample according to standard protocols.
  2. Gently invert tube 5 times immediately after draw. DO NOT SHAKE.
  3. Allow blood to clot 30 minutes.
  4. Centrifuge for 10 minutes.

Transport: Store serum at 2°C to 8°C after collection and ship the same day per packaging instructions included with the provided shipping box.


Ambient (15-25°C): 4 days
Refrigerated (2-8°C):
7 days
Frozen (-20°C):
30 days

Causes for Rejection: Improper labeling; samples not stored properly; samples older than stability limits; gross hemolysis; gross lipemia; microbial contamination may interfere; plasma specimen

Methodology: See Individual Tests

Turn Around Time:  2 to 3 days

Reference Range: See Laboratory Report

Clinical Significance: Laboratory testing may provide diagnostic support to the physician evaluating a patient with rheumatoid arthritis.

The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.