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  • Cyclic Citrullinated Peptide (CCP) Antibody, IgG

    Cyclic Citrullinated Peptide (CCP) Antibody, IgG Ordering Recommendation Highly specific serologic test that aids in the workup of suspected rheumatoid arthritis or undifferentiated inflammatory arthritides. Rheumatoid Arthritis Panel (3004055 ) is the preferred test. Mnemonic Methodology Semi-Quantitative Enzyme-Linked Immunosorbent Assay Performed Mon-Sat Reported Within 24 hours New York DOH Approval Status This test is New York DOH approved. Specimen Required Patient Preparation: Collect: Serum separator tube (SST). Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to a Standard Transport Tube. (Min: 0.3 mL) Storage/Transport Temperature: Refrigerated Unacceptable Conditions: Urine or plasma. Contaminated, hemolyzed, grossly icteric, heat-inactivated, or severely lipemic specimens. Remarks: Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles) Reference Interval 19 Units or less 20-39 Units Negative Weak Positive 40-59 Units Moderate Positive 60 Units or Greater Strong Positive Interpretive Data Anti-cyclic citrullinated peptide (anti-CCP), IgG antibodies are present in about 69-83 percent of patients with rheumatoid arthritis (RA) and have specificities of 93-95 percent. These autoantibodies may be present in the preclinical phase of disease, are associated with future RA development, and may predict radiographic joint destruction. Patients with weak positive results should be monitored and testing repeated. Note CPT Code 86200 Components Component Chart Name Cyclic Citrullinated Peptide Ab, IgG Component Test Code 0055256 LOINC 33935-8 Aliases ​ ACPA Antibody Anti Citrullinated Antibody ​Anti Citrulline Anti-CCP ​ Anti-CCP Antibody Anti-Citrullinated Ab Anti-Citrullinated Antibody Anti-Citrullinated Protein/Peptide Antibody (ACPA) Anti-Citrulline Antibody Anti-Cyclic Citrullinated Peptide ​ ​ ​ AntiCCP Antibody Anticitrullinated Antibody Anticitrullinated Protein/Peptide Antibody (ACPA) Anticitrulline Antibody Anticyclic Citrullinated Peptide (CCP) Antibody CCP CCP3 Antibody ​ ​ ​ ​ Citrullinated Ab Citrullinated Antibody Citrullinated Protein/Peptide Antibody (ACPA) Citrulline An tibody Soft-CCP ​ ​

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