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Cardiolipin Antibody (Serum) – Qualitative or Quantitative Immunoassay

Published: August 9, 2026Updated: August 15, 2026

This test measures antibodies to cardiolipin, a phospholipid found in cell membranes, often used to evaluate for lupus anticoagulant or antiphospholipid syndrome.

Quick summary

["Helps diagnose rare blood clotting disorders linked to autoimmune conditions."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 15, 2026Editorial policy

Key facts at a glance

LOINC
3181-5
Short code
CARDIGG
Synonyms
Cardiolipin IgG Ser IA-aCnc
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or red-top vacutainer tube
Units
N/A
Ref low
10
Ref high
40
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Immunoassay (Enzyme-linked immunosorbent assay or chemiluminescent immunoassay)
CPT
86147
SNOMED
11944004
Specimen volume
1-2 mL of serum (minimum 0.5 mL)
Stability
Room temperature: 8 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 30 days
Hemolysis max
100
Lipemia max
100
Icterus max
50
TAT
24–72 hours
Order
routine

Why This Test Might Be Ordered

Your doctor may recommend this test if you have symptoms of blood clots, unexplained bleeding, or autoimmune conditions like lupus. It may also be used to confirm or monitor antiphospholipid syndrome, a condition where the immune system mistakenly attacks blood vessels, increasing clot risk.

What to Expect Before the Test

No special preparation is needed. You’ll provide a blood sample drawn from your arm, similar to other routine blood tests. Results are qualitative (positive/negative) or quantitative (measured concentration), depending on the test type.

What the Test Results Mean

Positive results may indicate an elevated risk of blood clots or autoimmune activity. Negative results suggest no significant antibody presence, but further testing may still be needed if symptoms persist.

Common Reasons for Testing

This test is often part of a broader evaluation for conditions like deep vein thrombosis (DVT), pulmonary embolism, or recurrent miscarriages. It helps assess whether antiphospholipid antibodies are contributing to your symptoms.

Reference range

Negative: <10 GPL units; Indeterminate: 10-40 GPL units; Positive: >40 GPL units (values may vary by laboratory and assay manufacturer)N/A

Specimen: serum

No special patient preparation required. Fasting is not necessary for this test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Cardiolipin Antibody Test

Frequently asked questions

What does a positive result mean for my health?
A positive test for cardiolipin antibodies may signal an increased risk of clotting disorders or autoimmune activity. Your doctor will consider your symptoms, medical history, and other test results to guide further care, such as blood thinner medications.
Can false positives or negatives occur?
Yes, false positives or negatives can happen, especially if other antiphospholipid antibodies (like lupus anticoagulant or beta-2 glycoprotein I) are also present. Your doctor may repeat testing or order additional tests to clarify results.
How often should I get this test?
Frequency depends on your diagnosis and symptoms. If you have antiphospholipid syndrome, your doctor may recommend regular monitoring, possibly every 6–12 months, to track antibody levels and adjust treatment as needed.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

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 15, 2026. · Read our editorial policy