Protein Panel with Pathologist Interpretation, Serum and Spinal Fluid

Test Code

1001

CPT Codes
82040-Albumin, serum; 82042-Albumin, spinal fluid; 82784 x 2-IgG, serum and spinal fluid; 83916 x 2-High resolution electrophoresis and oligoclonal banding; 84155-Protein, total, serum; 84157-Spinal fluid

Preferred Specimen

Send each of the following specimens:

Serum
Container/Tube: Serum gel tube(s)
Specimen Volume: 0.5 mL of serum
Note: 1. Indicate serum. 2. Label specimen appropriately (serum).

Spinal Fluid
Container/Tube: Sterile vial(s)
Specimen Volume: 5 mL of spinal fluid
Note: 1. The third or fourth tube of a routinely obtained 3 or 4-tube set of spinal fluid should be used for these studies. 2. Indicate spinal fluid. 3. Label specimen appropriately (spinal fluid).

Instructions

Serum and spinal fluid are required. Serum specimen must be drawn within 1 hour of lumbar puncture.

Transport Temperature

Ambient

Methodology
Nephelometry/Agarose Gel Electrophoresis

Setup Schedule

Monday through Friday

Reference Range

ALBUMIN, SERUM
3,500-5,200 mg/dL
ALBUMIN, SPINAL FLUID
8-37 mg/dL IgG INDEX =0.7
IgG, SERUM
700-1,600 mg/dL
IgG, SPINAL FLUID
0.9-7.9 mg/dL
OLIGLOCLONAL BANDS
None present
IgG SYNTHESIS RATE
<3.3 mg/dL
PROTEIN, TOTAL, SERUM
1-30 days: 4.1-6.3 g/dL
31 days-3 years: 4.4-7.9 g/dL
>=4 years: 6.4-8.5 g/dL
PROTEIN, TOTAL, SPINAL FLUID
15-45 mg/dL
HIGH RESOLUTION ELECTROPHORESIS
An interpretive report will be provided

Clinical Significance

Useful for the diagnosis of multiple sclerosis.

Performed By
CoxHealth

The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.