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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