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Test Code MSAES Myositis Specific Antibody Evaluation, Serum


Ordering Guidance


This test is appropriate for patients presenting with proximal muscle weakness, elevated muscle enzymes (eg, creatine kinase), and/or suggestive cutaneous features (eg, heliotrope rash, Gottron’s papules) consistent with myositis and related disorders. This test can assist in classifying IIM subtypes (eg, dermatomyositis, anti-synthetase syndrome, immune-mediated necrotizing myopathy, or inclusion body myositis. It may be useful in distinguishing idiopathic inflammatory myopathy from overlapping connective tissue diseases (CTDs). For patients with suspicion of overlap syndromes with CTDs additional myositis-associated antibody testing may be warranted beyond this panel.



Additional Testing Requirements


In patients with atypical or non-classical presentations testing for some myositis associated antibodies may be considered including anti-U1-snRNP, PM/Scl, Ro52 or Ro60.



Necessary Information


Provide the following information:

-Relevant clinical information

-Ordering provider name, phone number, mailing address, and e-mail address



Specimen Required


Supplies: Sarstedt Aliquot Tube, 5 mL (T914)

Collection Container/Tube:

Preferred: Red top

Acceptable: Serum gel

Submission Container/Tube: Plastic vial

Specimen Volume: 2.5 mL

Collection Instructions: Centrifuge and aliquot serum into a plastic vial.


Reflex Tests

Test ID Reporting Name Available Separately Always Performed
SRPBS SRP Immunoblot, S No No
SRPTS SRP IFA Titer, S No No

Specimen Type

Serum

Specimen Minimum Volume

1.5 mL

Specimen Stability Information

Specimen Type Temperature Time
Serum Refrigerated (preferred) 21 days
  Frozen  21 days

Reject Due To

Gross hemolysis Reject
Gross lipemia Reject
Gross icterus Reject
Heat-Treated Reject

Reference Values

Test ID

Reporting Name

Methodology*

Reference Value

MYSI

Myositis Specific Ab Interp, S

Technical interpretation

Interpretive report

EJS

EJ Ab, S

PMAT

Negative

HMGCR

HMG-CoA Reductase Ab, S

CIA

<20.0

JO1

Jo 1 Ab, IgG, S

MFI

<1.0 U

MDA5S

MDA5 Ab, S

PMAT

Negative

MI2S

Mi2 Ab, S

PMAT

Negative

NXP2S

NXP2 Ab, S

PMAT

Negative

OJS

OJ Ab, S

PMAT

Negative

PL12S

PL12 Ab, S

PMAT

Negative

PL7S

PL7 Ab, S

PMAT

Negative

SAE1S

SAE1 Ab, S

PMAT

Negative

SRPIS

SRP IFA Screen, S

IFA

Negative

TIFGS

TIF1G Ab, S

PMAT

Negative

 

*Methodology abbreviations:

Bead-based multi-analyte immunoassay (PMAT)

Multiplex flow immunoassay (MFI)

Indirect immunofluorescence assay (IFA)

Chemiluminescence immunoassay (CIA)

Immunoblot (IB)

Day(s) Performed

Varies

Report Available

3 to 7 days

Specimen Retention Time

14 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

86255 x10

82397

86235

84182-SRPBS (if appropriate)

86256-SRPTS (if appropriate)