Test Code LABPAIG Platelet Associated Antibodies, Direct Assay
Additional Codes
Test Name in EPIC | EPIC Test Code | Mnemonic | ARUP Test ID |
---|---|---|---|
Platelet Associated Antibodies, Direct Assay | LABPAIG | PAIG | 0095614 |
Methodology
Qualitative Flow Cytometry
Specimen Requirements
Collect
Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation
Transport 4 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature
CRITICAL ROOM TEMPERATURE.
Unacceptable Conditions
Clotted, hemolyzed, frozen, or refrigerated specimens. Specimens older than 48 hours.
Remarks
Specimens must be analyzed within 48 hours of collection. Required amount of blood may be dependent on platelet count.
Specimen Transport Temperature
Stability
Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
Performing Laboratory
ARUP Laboratories
500 Chipeta Way
Salt Lake City, Utah 84108
Test Classification and CPT Coding
Component Test Code* Component Chart Name LOINC
0095612 Platelet Antibodies Direct, IgG 29497-5
0095613 Platelet Antibodies Direct, IgM 29498-3
CPT 86023 x 2
Interpretive Data
Negative (IgG & IgM): No excess antibodies were associated with the patient's platelets. An immune cause of thrombocytopenia is unlikely.
Positive (IgG and/or IgM): An increase in platelet associated immunoglobulin is noted. An immune cause of thrombocytopenia should be considered. However, many conditions can result in an increase in platelet associated antibodies; for example, IgM rheumatoid factor antibodies.
Strong Positive (IgG and/or IgM): A definite increase in platelet associated immunoglobulin is noted and an immune cause of thrombocytopenia should be considered. However, many conditions can result in an increase in platelet associated antibodies; for example, IgM rheumatoid factor antibodies.
This test was developed and its performance characteristics determined by ARUP Laboratories. It has not been cleared or approved by the US Food and Drug Administration. This test was performed in a CLIA certified laboratory and is intended for clinical purposes.
Compliance Category
Analyte Specific Reagent (ASR)
Note: More information
Detection of platelet-associated IgG and/or IgM may be used to separate thrombocytopenia of immune origin from nonimmune origin. Most patients with ITP have abnormally high levels of IgG associated with their platelets. Occasionally patients will have normal IgG levels but abnormally high levels of IgM. Dual staining and flow cytometric analysis ensures that only platelets are analyzed and relatively small volumes of blood are required. This assay does not distinguish between autoantibodies and alloantibodies, nor does it identify specific types of antiplatelet antibodies, such as those against HPA-1a.
Performed and Reported
Performed | Reported |
Sunday-Saturday | 2-3 days |