Syphilis Screen w/Reflex (RPR Ab-First, Traditional Algorithm)

Orderable EAP code:

LAB00282

Billable EAP Codes:

80001899 x 1

CPT Codes:

86592 x 1

Lab Section:

Immunology

Includes:

RPR Qualitative. If reactive, reflex to:
• RPR Quant (Titer)
• T. PALLIDUM AB By TP-PA
Additional charges will apply.

Turnaround Time:

Routine: 2 days, additional for reflex testing. 

Test Schedule:

Monday - Friday; 3 times a week.

Related Links:

Syphilis Test Algorithm

Specimen Requirements:

*Do not order for patients 18 months or older. See comments below.*

4.0 mL blood in serum separator tube (SST) or nonanticoagulated tube (RED top). 
Remove 2.0 mL serum from clot tube and send in an aliquot tube.
Minimum volume is 1 mL serum
Storage/Transport Temperature: Refrigerated

Stable refrigerated (2 to 8 C) for 5 days. If there is a delay in testing, store frozen at -20 C or colder. Avoid repeated freeze/thaw cycle. Remove specimen from clot or separator gel prior to storage.

Pediatric Specimen Requirements:

4.0 mL blood in serum separator tube (SST) or nonanticoagulated tube (RED top). 
Remove 2.0 mL serum from clot tube and send in an aliquot tube.
Minimum volume is 1 mL serum
Storage/Transport Temperature: Refrigerated

Stable refrigerated (2 to 8 C) for 5 days. If there is a delay in testing, store frozen at -20 C or colder. Avoid repeated freeze/thaw cycle. Remove specimen from clot or separator gel prior to storage.

Comments:

Recommended test for congenital syphilis screen for patients less than 18 months old (traditional algorithm) and for patients with known exposure to Syphilis or considered high-risk for exposure. 

For patients 18 months or greater refer to Syphilis Screen w/ Reflex (Treponemal Ab-First, Reverse Algorithm) (LAB103756)

T.PALLIDUM AB By TP-PA is sent to ARUP for testing Treponema pallidum Antibody by TP-PA T. ARUP Test Directory: Treponema Pallidum Antibody by TP-PA (Opens in a new window)
 

Synonyms:

Syphilis Serology
Syphilis Reverse Testing Algorithm
Rapid Plasma Reagin
Rapid Plasma Reagin Reflex to Titer or TPPA