Understanding Your Medical Test: A Patient's Guide to Testing, Results, and Next Steps
This blood test detects IgG antibodies against neutrophils, helping diagnose certain autoimmune diseases affecting blood vessels.
{"Measures IgG antibodies that attack white blood cells called neutrophils","Used mainly to diagnose vasculitis (blood vessel inflammation)","Results help differentiate between different types of autoimmune diseases","Often ordered with other tests for complete diagnosis"}
Key facts at a glance
- LOINC
- 18330-1
- Short code
- ANCAG
- Synonyms
- ANCA IgG Ser-aCnc
- Category
- chemistry
- Sample
- serum
- Container
- Serum separator tube (SST) or red-top tube; serum aliquot tube for storage
- Units
- N/A
- Ref low
- 0
- Ref high
- 1
- Critical range
- 0.5 N/A – —
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- Method
- Enzyme-Linked Immunosorbent Assay (ELISA) or Indirect Immunofluorescence Assay (IFA) for detection of antineutrophil cytoplasmic antibodies (ANCA)
- CPT
- 83516 (ANCA screen); 83516 x2 with 86256 for titer and pattern
- SNOMED
- 39542008
- Specimen volume
- 1.0 mL serum (minimum 0.5 mL)
- Stability
- Stable for 7 days at 2-8°C; for extended storage, freeze at -20°C or below for up to 6 months; avoid repeated freeze-thaw cycles
- Hemolysis max
- 100
- Lipemia max
- 100
- Icterus max
- 50
- TAT
- 24–72 hours
- Order
- routine
This test is a laboratory or diagnostic procedure that helps your healthcare provider evaluate how your body is working, screen for possible health conditions, confirm or rule out a diagnosis, and monitor an existing treatment plan, often using a small sample or a simple, painless measurement.
The Neutrophil Cytoplasmic IgG Antibody (ANCA) test is a blood test that detects IgG antibodies directed against proteins in neutrophils, a type of white blood cell. These antibodies are called Anti-Neutrophil Cytoplasmic Antibodies (ANCA). The test helps identify certain autoimmune conditions where the immune system mistakenly attacks the body's own blood vessels.
Your doctor may order this test as part of a routine checkup, because you are experiencing symptoms that need a clearer explanation, to keep a known condition under closer watch, or to see whether a medication or therapy is working the way it should before any changes are made to your care.
Your doctor may order this test if you have symptoms suggesting an autoimmune vasculitis, such as unexplained fever, skin rashes, joint pain, kidney problems, or respiratory symptoms. It helps distinguish between different types of vasculitis and monitor disease activity during treatment.
The test is usually performed in a doctor's office, clinic, or laboratory by a trained member of your care team. Depending on the type of test, it may involve a blood draw, a urine sample, a throat or nasal swab, or an imaging scan, and the procedure itself is typically quick with only brief, mild discomfort.
A healthcare professional will draw a blood sample from a vein in your arm. The sample is then sent to a laboratory where it is analyzed using special techniques to detect the presence and pattern of neutrophil antibodies. Results are typically available within a few days.
Your results are compared with established reference ranges, and values that fall outside those ranges may point to infection, inflammation, organ dysfunction, or another condition that needs follow-up. Always review your results with your provider, who can explain exactly what they mean for your health.
Positive results indicate the presence of ANCA antibodies, which may suggest conditions like granulomatosis with polyangiitis, microscopic polyangiitis, or other forms of vasculitis. The pattern and specific proteins targeted help determine the exact condition. Your doctor will interpret results in context with your symptoms and other test findings.
Reference range
Negative: <1:20 titer (IFA) or <20 U/mL (ELISA); specific cutoffs vary by laboratory and assay manufacturerN/A
No special patient preparation required. Fasting is not necessary. Patients should inform their healthcare provider of any immunosuppressive medications being taken, as these may affect results.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
This test is primarily used to diagnose and monitor ANCA-associated vasculitis, including granulomatosis with polyangiitis (GPA), microscopic polyangiitis (MPA), and eosinophilic granulomatosis with polyangiitis (EGPA). It helps differentiate between vasculitis types, assess disease activity, and guide treatment decisions. The test may also be useful in monitoring response to immunosuppressive therapy.
Frequently asked questions
Do I need to fast before this test?
Are there any risks from this test?
Can medications affect my test results?
How long will it take to get results?
Will a positive result definitely mean I have vasculitis?
Sources
- 1Mayo Clinic - ANCA testSource
- 2
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.
Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy