ARUP's Laboratory Test Directory

Treponema pallidum Antibody (FTA-ABS), Serum, IgG by IFA with Reflex to Treponema pallidum Antibody by TP-PA : 0050477

Mnemonic: FTA

Methodology: Semi-Quantitative Indirect Fluorescent Antibody/Semi-Quantitative Particle Agglutination
Performed: Sun-Sat
Reported: 1-4 days
Specimen Required: Collect: Serum separator tube.

Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.2 mL)

Storage/Transport Temperature: Refrigerated.

Unacceptable Conditions: CSF, plasma, or other body fluids. Contaminated, hemolyzed, or severely lipemic specimens.

Stability (collection to initiation of testing): After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)

Reference Interval:
Nonreactive
Note: The Fluorescent Treponema Antibody (FTA) is recommended for follow-up of reactive nontreponemal tests for syphilis, and as a single test in patients suspected of late syphilis. The FTA may be used to resolve discrepancies between laboratory results and clinical impressions. FTA tests for syphilis may be falsely positive in some cases of systemic lupus erythematosus, pregnancy, and leprosy.

The FTA test is not recommended for cerebrospinal fluid specimens. For CSF specimens, the VDRL-CSF test is recommended.

Inconclusive results will be repeated by TP-PA to aid the physician in diagnosis.  Inconclusive final reports indicate the initial specimen submitted has been tested twice and cannot be interpreted as either reactive or nonreactive. If it is the second specimen submitted on a patient and the report is again inconclusive, it is impossible to state definitively that the patient does or does not have syphilitic infection.

Reflex will only happen when the FTA is found to be inconclusive. Additional charges apply.
CPT Code(s): 86780; if reflexed, add additional 86780
Cross References: Fluorescent Treponemal Antibody, Serum, IgG, FTA, Serum, Treponema Antibody, Serum
 
 

 

 

 
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