Test Code LAB1676 Cyclic Citrullinated Peptide Antibodies, IgG, Serum
Additional Codes
| Test Name in Epic | Epic Test Code | Mnemonic |
|---|---|---|
| Cyclic Citrullinated Peptide IgG Antibody | LAB1676 | CCP |
Useful For/Utility
The presence of anti-CCP3 can be used in conjunction with clinical findings and other laboratory tests to aid in the diagnosis of rheumatoid arthritis. Rheumatoid Arthritis (RA) is one of the most common systemic autoimmune diseases affecting approximately 0.5% of the world population. The diagnosis depends primarily on clinical manifestations of the disease. Until recently, the only serological test routinely used was the presence of rheumatoid factor (RF) found in approximately 50-90% of these patients. However, RF is nonspecific to RA. A circular peptide containing citrulline, called CCP (Cyclic Citrullinated Peptide) was found to be better at identifying RA compared to other laboratory tests. In a review of the published literature, 77% of patients with RA are positive for anti-CCP, while an average of 3% of non-RA subjects are positive.
Performing Laboratory
Chemistry- SMDC Clinical Lab
Specimen Type
Serum
Specimen Required
Serum SST - Gel
Specimen Volume: 1 mL
Specimen Mininum Volume: 0.50 mL
Specimen Stability Information
Reject Due to
| Gross Hemolysis | Reject |
| Gross lipemia | Reject |
| Heat-treated specimen | Reject |
Specimen Transport Temperature:
Refrigerate 5 days/Ambient 8 hrs/Frozen OK
Method and Method Description
Enzyme Immunoassay (EIA)
Day(s) Test Set Up
Monday through Friday (day shift only)
CPT/LOINC
86200
Reference Values
<20.0 U (negative)
20.0-39.9 U (weak positive)
40.0-59.9 U (positive)
≥60.0 U (strong positive)
Reference values apply to all ages