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Rheumatoid factor and anti-CCP

Also called: RF, Anti-CCP, ACPA

Rheumatoid factor (RF) and anti-CCP are antibody tests that help diagnose rheumatoid arthritis.

SampleA small tube of blood from a vein in your arm
Fasting?Usually not needed
ResultsSeveral days
Good to knowOne result rarely tells the whole story. Your provider looks at your results together with your symptoms, exam, and other tests.

What the test is

Anti-CCP is more specific for rheumatoid arthritis. RF can be positive in healthy older adults and with other conditions.

Why it's done

  • Joint pain, swelling, and morning stiffness, especially in the hands and feet

Getting ready and what happens

  • No special preparation is needed.

How the test is done

  • A health worker cleans the skin, puts a band around your arm, and draws blood from a vein with a small needle. It takes a few minutes.

What the results mean

ResultTypical range for adults
RFBelow about 14 IU/mL (labs vary)
Anti-CCPBelow about 20 units (labs vary)

Normal ranges vary from lab to lab and can differ by age, sex, and pregnancy. Your report lists your lab's own range next to each result. A result a little outside the range is often not a problem.

Positive

With matching symptoms, supports rheumatoid arthritis. A positive anti-CCP also suggests a higher chance of joint damage.

Negative

Doesn't rule out rheumatoid arthritis; some people never test positive.

Questions to ask your provider

  • What do my results mean for me?
  • Do I need to repeat this test or have other tests?
  • Should I see a rheumatologist?
  • Do I need X-rays?

Risks

A blood draw is very safe. You may have slight pain or a small bruise where the needle went in.

Related conditions

Related medicines

Related tests

Sources

Last updated 2026-11-13.