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Cardiolipin Antibody Titers (IgG and IgM)

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

This test measures the presence of antibodies against cardiolipin, a phospholipid found in cell membranes, often used to help diagnose conditions like lupus or other autoimmune disorders.

Quick summary

["Assists in identifying potential autoimmune or inflammatory conditions."]

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

Key facts at a glance

LOINC
20484-2
Short code
ACLIGG
Synonyms
Cardiolipin IgG Titr Ser
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or red-top vacutainer tube without anticoagulant
Units
N/A
Ref low
0
Ref high
10
Critical range
— – 80 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Enzyme-Linked Immunosorbent Assay (ELISA) for quantitative IgG anti-cardiolipin antibody titer determination
CPT
86147
SNOMED
426396005
Specimen volume
1.0 mL serum (minimum 0.5 mL)
Stability
Room temperature: 8 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 30 days. Avoid repeated freeze-thaw cycles.
Hemolysis max
100
Lipemia max
100
Icterus max
50
TAT
24–72 hours
Order
routine

Why This Test Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms like joint pain, fatigue, or unexplained blood clots, or if you have a history of autoimmune diseases such as lupus or antiphospholipid syndrome.

What to Expect Before the Test

No special preparation is needed. A blood sample is typically drawn from a vein in your arm. If you’re on blood thinners, inform your provider before the test.

What the Results Mean

Positive results (high antibody levels) may suggest an autoimmune condition, but they don’t confirm a diagnosis alone. Results are usually interpreted alongside other tests and clinical findings.

Common Conditions Linked to Positive Results

Elevated cardiolipin antibodies are often associated with autoimmune disorders like lupus, antiphospholipid syndrome, or other connective tissue diseases. They may also appear in people with chronic inflammatory conditions.

Reference range

Negative: <10 GPL U/mL; Indeterminate: 10-14 GPL U/mL; Low-Positive: 15-39 GPL U/mL; Moderate-Positive: 40-79 GPL U/mL; High-Positive: ≥80 GPL U/mL. Values vary by laboratory and assay manufacturer.N/A

Specimen: serum

No special patient preparation required. Fasting is not necessary. Patients should inform their healthcare provider of any current medications, particularly anticoagulants or immunosuppressants.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: Role in Diagnosis and Monitoring

Short name

Cardiolipin Antibodies

Frequently asked questions

What Does This Test Measure?
This test measures two types of cardiolipin antibodies: IgG (common in chronic conditions) and IgM (often seen in acute or recent exposure). These antibodies can indicate an immune system response against phospholipids, which may trigger blood clotting or inflammation.
How Often Is This Test Used?
This test is typically ordered as part of a broader evaluation for autoimmune diseases, especially when symptoms like blood clots, skin rashes, or organ involvement are present. It’s not a standalone diagnostic tool but helps guide further testing.
Are There Any Risks or Side Effects?
Risks: Rarely, drawing blood can cause bruising, slight pain, or a small pinch at the site. No other significant risks are associated with this test.
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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