Neuromyelitis Optica (NMO) Evaluation with Reflex

Test Code
NMOIGG


Alias/See Also
NMO IgG, AQP, AQP4


CPT Codes
86255

Preferred Specimen
2.0 mL of whole blood (1.0 mL of serum)


Minimum Volume
1.0 mL of whole blood (0.5 mL of serum)


Transport Container
Serum Separator (gold top) or No Additive Red Top


Transport Temperature
Refrigerated


Specimen Stability
Room temperature: 72 hours
Refrigerated: 28 days
Frozen: 28 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis


Methodology

NMO/AQP4-IgG Enzyme-Linked Immunosorbent Assay/Indirect Immunofluorescence



Setup Schedule


Monday through Friday; 8 a.m.



Report Available
Report available 2 to 3 days upon receipt at Mayo Medical Laboratories


Reference Range


NMO/AQP4-IgG: <1.6 U/mL




Clinical Significance


Establishing the diagnosis of an neuromyelitis optica spectrum disorder and distinguishing one of these disorders from multiple sclerosis early in the course of disease, allowing early initiation, and maintenance, of optimal therapy.






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.