© Copyright 2026 American Medical Association. All rights reserved.
The CPT® Code 86341 refers to a laboratory test specifically designed to detect the presence of islet cell antibodies (ICA) in a blood sample. Islet cells, which are found in the pancreas, play a crucial role in the endocrine system by producing several important hormones, including insulin, glucagon, somatomammotropin, and pancreatic polypeptides. The presence of islet cell antibodies is significant as it may indicate an autoimmune response associated with type 1 diabetes mellitus, a condition where the immune system mistakenly attacks insulin-producing cells in the pancreas. This test is particularly useful for identifying individuals who may be at risk of developing type 1 diabetes, as well as for differentiating between latent autoimmune diabetes in adults (LADA) and other forms of diabetes, such as type 2 or gestational diabetes. The testing process involves obtaining a blood sample through a procedure known as venipuncture, which is reported separately. The serum obtained from the blood is then analyzed for the presence of IA-2 antibodies using a semiquantitative radioimmunoassay method, and for islet cell antibodies, specifically IgG, using a quantitative indirect fluorescent antibody technique. This comprehensive approach allows for a detailed assessment of the patient's autoimmune status regarding islet cell function.
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