Celiac Screen with Reflex
Test Mnemonic
CELSCR
CPT Codes
- 86258 - QTY (1)
- 86364 - QTY (1)
- 82784 - QTY (1)
Includes
- Gliadin, IgA
- Total IgA
- Tissue Transglutaminase, IgA
Performing Laboratory
Cleveland Clinic Laboratories
Specimen Requirements
| Volume | Type | Container | Collect Temperature | Transport Temperature | Special Instructions |
|---|---|---|---|---|---|
| 2 mL | Serum | SST (Gold) | Refrigerated |
Alternate Specimen Requirements
| Volume | Type | Container | Collect Temperature | Transport Temperature | Special Instructions |
|---|---|---|---|---|---|
| 2 mL | Serum | No additive (Red) | Refrigerated |
Stability
| Environmental Condition | Description |
|---|---|
| Ambient | 1 day |
| Refrigerated | 7 days |
| Frozen | 14 days, up to 2 freeze/thaw cycles |
Days Performed
Mon - Fri
Turnaround Time
1 - 3 days
Methodology
| Name | Description |
|---|---|
| Immunoturbidometric Assay | |
| Enzyme-Linked Immunosorbent Assay (ELISA) |
Clinical Info
This panel is recommended when Celiac disease is clinically suspected. Positive results can be seen in asymptomatic individuals. Correlation with HLA status and biopsy results, where indicated, are advised.
Clinical Limitation
Serum is the only acceptable sample type. Samples that are hemolyzed, lipemic, heat treated, bacterially contaminated or contain visible particulate should be avoided.
Reflex Tests
The following additional test(s) may be ordered depending on results: