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Test Code CCP Cyclic Citrullinated Peptide Antibodies

Useful For

Detection of CCP antibodies is used as an aid in the diagnosis of rheumatoid arthritis.  Measurements of anti-CCP may provide important information regarding the severity and prognosis of the disease.


See the Mixed Connective Tissue Disease Panel Algorithm for suggested testing strategy. 

Synonyms/Keywords

CCP, Rheumatoid Arthritis, Avise MCV

Specimen Requirements

Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
No Serum Red Top Tube (RTT) or Serum Separator Tube (SST)   1.0 mL 0.4 mL 0.4 mL

Collection/Processing Instructions

Separate serum from cells within 2 hours of collection. 

Specimen Stability Information

Specimen Type Temperature Time
Serum Refrigerate 7 days
Frozen > 7 days

Rejection Criteria

Gross hemolysis
Gross lipemia
Gross Icterus

Test Information

A positive result for CCP antibodies indicates a high likelihood of RA. However, not all RA patients are positive for CCP antibodies. Results of this assay should be used in conjunction with clinical findings and other serological tests.

Reference Range Information

Performing Location Reference Range
Marshfield Negative: <3.0 U/mL 

Marshfield Labs Performing Department

Marshfield Labs Immunodiagnostics

Performing Information

Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield Monday through Friday 1 day Multiplex Flow Immunoassay/Bio-Rad BioPlex 2200

CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
86200   1    

Outreach CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
86200   1    

Ordering Applications

Ordering Application Description
Centricity Cyclic Citrullinated Peptide
Cerner Cyclic Citrulline Peptide