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Test Code HISTB / 012518-LC ANTIHISTONE ANTIBODIES

Additional Codes

Software Test Code
SoftID HISTB
EPIC LAB10083
LabCorp 012518

Performing Laboratory

Laboratory Corporation of America (LabCorp)

Useful For

Evaluating patients suspected of having drug-induced Lupus

Method Name

Enzyme Linked Immunosorbent Assay (ELISA)

Reference Values

Negative: <1.0 units

Weak positive: 1.0-1.5 units

Moderate positive: 1.6-2.5 units

Strong positive: >2.5 units

Days and Times Test Performed

Monday through Thursday

Report Available

1 Day

Specimen Type

Serum

Preferred Container

Serum Separator Tube (SST)

Preferred Volume

Serum: 1 mL (Serum Separator Tube (SST))

Minimum Volume

Serum: 0.5 mL (Serum Separator Tube (SST))

Specimen Collection and Handling

Spin specimen, separate from clot and send at ambient temperature.

Specimen Stability Information

Specimen Type: Serum

Frozen: 14 Days

Refrigerated: 14 Days

Room Temp: 14 Days

Add On Capable

Contact Reference Lab – If add-on can never be done, report the test to the Administrative Analyst

Advance Beneficiary Notice Requirements

This test, when ordered on Medicare patients, is subject to the National Coverage Determination (NCD) policies. Please verify that the diagnosis code (ICD code) you have chosen demonstrates medical necessity for the test as documented in the physician’s patient record. The CMS web site is available to assist you with this verification. A properly executed Advance Beneficiary Notice (ABN) must be submitted with the specimen if medical necessity is not demonstrated by the ICD code chosen.

CPT Code Information

CPT Code

CPT Description

CPT Disclaimer

86235 Extractable Nuclear Antigen, Antibody to, Any Method (eg: nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), Each Antibody

Keywords

ANTI-HISTONE AUTOANTIBODIES

AUTOANTIBODIES TO HISTONE

Performing Laboratory Location

Laboratory Corporation of America (LabCorp)

Clinical Significance

Antibodies to histones are detected in approximately 30% to 60% of patients with systemic lupus erythematosus (SLE) however their presence in about 95% of patients with drug-induced lupus is more important diagnostically.

LOINC Code Information

29996-6

Acceptable Alternative Container(s)

Red Top Tube