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23153 Celiac Panel, Age over 2 years

Celiac Panel, Age over 2 years
Test Code: ACELPAN
Synonyms/Keywords
Sprue, Celiac, tTG​
Test Components
Serum IgA level
Tissue Transglutaminase (tTG) IgA ​
Useful For

Order ACELPAN (Celiac Panel, Age over 2 years) on patients who HAVE reached their 3rd birthday. If the patient HAS NOT reached their 3rd birthday, order PCELPAN (Celiac Panel, Age 2 and under).

An initial serological assessment for suspected celiac disease. Panel includes tissue transglutaminase (tTG) IgA antibody, and a serum IgA level. If serum IgA levels are low, reflexive testing for tTG IgG antibody, and deamidated gliadin peptide (DGP) IgG antibody will be performed at an additional charge.

Serologic Screening of Celiac Disease

Specimen Requirements
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
No​ Serum​ Red Top Tube (RTT)​ ​Serum Separator Tube (SST) 1.0 mL​ 1.0 mL​ 0.5 mL
Collection Processing Instructions

​Se​parate serum from cells within 2 hours of collection.

Specimen Stability Information
Specimen Type Temperature Time
Serum​ ​ Refrigerate​ 7 days​
Frozen > 7 days​
Rejection Criteria
Gross lipemia
Gross hemolysis​
Heat inactivated samples​
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield​ Monday through Friday​ 1 day​ Multiplex Flow Immunoassay/ BioRad Bioplex 2200
Test Information
Panel includes tTG-IgA, and total serum IgA. Patients with celiac disease produce tTG antibodies of the IgA isotype. Low levels of serum IgA may indicate an impaired production of IgA antibodies. When low serum IgA levels are detected, tTG IgG and DGP IgG will be reflex ordered at an additional charge. Tissue transglutaminase IgG and gliadin IgG antibody tests provide additional support for a differential diagnosis.
Reference Range Information
Performing Location Reference Range
 Marshfield ​ ​ ​ ​ tTG-IgA: Negative <15 U/mL​
​tTG-IgG: Negative <15 U/mL
​Gliadin IgG: Negative <15 U/mL
​Serum IgA: See "Immunoglobulin A" test for age specific ranges
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
86364 ​ ​1 tTG IgA ​ ​
82784​ ​ ​1 Serum IgA ​
86258​ ​ 1 Gliadin IgG Antibodies ​If Reflexed
86364​ ​ ​1 tTG IgG Antibodies ​If Reflexed
Synonyms/Keywords
Sprue, Celiac, tTG​
Test Components
Serum IgA level
Tissue Transglutaminase (tTG) IgA ​
Ordering Applications
Ordering Application Description
​Cerner ​Celiac Panel, age over 2 years
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
No​ Serum​ Red Top Tube (RTT)​ ​Serum Separator Tube (SST) 1.0 mL​ 1.0 mL​ 0.5 mL
Collection Processing

​Se​parate serum from cells within 2 hours of collection.

Specimen Stability Information
Specimen Type Temperature Time
Serum​ ​ Refrigerate​ 7 days​
Frozen > 7 days​
Rejection Criteria
Gross lipemia
Gross hemolysis​
Heat inactivated samples​
Useful For

Order ACELPAN (Celiac Panel, Age over 2 years) on patients who HAVE reached their 3rd birthday. If the patient HAS NOT reached their 3rd birthday, order PCELPAN (Celiac Panel, Age 2 and under).

An initial serological assessment for suspected celiac disease. Panel includes tissue transglutaminase (tTG) IgA antibody, and a serum IgA level. If serum IgA levels are low, reflexive testing for tTG IgG antibody, and deamidated gliadin peptide (DGP) IgG antibody will be performed at an additional charge.

Serologic Screening of Celiac Disease

Test Components
Serum IgA level
Tissue Transglutaminase (tTG) IgA ​
Reference Range Information
Performing Location Reference Range
 Marshfield ​ ​ ​ ​ tTG-IgA: Negative <15 U/mL​
​tTG-IgG: Negative <15 U/mL
​Gliadin IgG: Negative <15 U/mL
​Serum IgA: See "Immunoglobulin A" test for age specific ranges
For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield​ Monday through Friday​ 1 day​ Multiplex Flow Immunoassay/ BioRad Bioplex 2200
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
86364 ​ ​1 tTG IgA ​ ​
82784​ ​ ​1 Serum IgA ​
86258​ ​ 1 Gliadin IgG Antibodies ​If Reflexed
86364​ ​ ​1 tTG IgG Antibodies ​If Reflexed
For most current information refer to the Marshfield Laboratory online reference manual.