Celiac Screen with Reflex | Cleveland Clinic Laboratories

Celiac Screen with Reflex Print

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)

Reference Range

Gliad Deamidated IgA Qual
Sex	Age From	Age To	Type	Range	Range Unit
			Normal	Negative
Gliadin IgA Ab
Sex	Age From	Age To	Type	Range	Range Unit
			Normal	<20	Units
IgA
Sex	Age From	Age To	Type	Range	Range Unit
	Months	11 Months	Normal	less than 83	mg/dL
	1 Years	3 Years	Normal	20 - 100	mg/dL
	4 Years	6 Years	Normal	27 - 195	mg/dL
	7 Years	9 Years	Normal	34 - 305	mg/dL
	10 Years	11 Years	Normal	53 - 204	mg/dL
	12 Years	13 Years	Normal	58 - 358	mg/dL
	14 Years	15 Years	Normal	47 - 249	mg/dL
	16 Years	19 Years	Normal	61 - 348	mg/dL
	20 Years	99 Years	Normal	70 - 400	mg/dL
Transglutaminase Ab, IgA
Sex	Age From	Age To	Type	Range	Range Unit
			Normal	<4.0	Units
Transglutaminase IgA Qualitative
Sex	Age From	Age To	Type	Range	Range Unit
			Normal	Negative

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.