Cold Agglutinin Titer, Quantitative

CPT: 86157
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Test Includes

Titer of the patient's serum against type O blood cells at 2°C to 8°C


Special Instructions

This test is not specific for Mycoplasma pneumoniae. For diagnosis of Mycoplasma pneumoniae infections, see Mycoplasma pneumoniae Antibodies, IgG, IgM [163758].


Expected Turnaround Time

2 - 3 days


Related Documents


Specimen Requirements


Specimen

Serum


Volume

1 mL


Minimum Volume

0.5 mL


Container

Red-top tube or gel-barrier tube


Collection

Transport blood immediately to laboratory. Incubate at 37°C and allow to clot at 37°C. Separate serum from cells. If there is not a 37°C incubator, allow to clot at room temperature and separate serum from cells immediately after clotting.


Storage Instructions

Do not refrigerate prior to separation of serum from red cells. Store separated serum in refrigerator.


Causes for Rejection

Refrigeration of the specimen before separating serum from cells


Test Details


Use

Detection of the presence of cold agglutinins in patients with suspected cold agglutinin disease


Limitations

False-negative results may occur if the sample is refrigerated prior to the separation of the serum from the red blood cells. This test is not a direct measure of the clinical significance of the cold agglutinin and must be used in conjunction with the patient’s clinical presentation and other laboratory values. Normal individuals may have low levels of cold agglutinins that have no clinical significance.


Methodology

Hemagglutination


Reference Interval

Negative: <1:32


References

Fung MK, Grossman JB, Hillyer CD, Westoff CM, eds. AABB Technical Manual. 18th ed. Bethesda, Md: American Association of Blood Banks;2014.
Petz LD, Garratty G. Immune Hemolytic Anemias. 2nd ed. New York: Churchill Livingstone/Elsevier Science;2004.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
006353 Cold Agglutinin Titer, Quant 5098-9 006353 Cold Agglutinin Titer, Quant 5098-9

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