Myasthenia Gravis Panel 2 with Reflex to MuSK Antibody

Test Code
93859


CPT Codes
86041, 86042, 86043

Includes
Acetylcholine Receptor Blocking Antibody, Acetylcholine Receptor Binding Antibody, *Acetylcholine Receptor Modulating Antibody

If AChR blocking is <15% of inhibition, AChR binding is ≤0.30 nmol/L, and AChR modulating is <32% binding inhibition, then MuSK Antibody Test will be performed at an additional charge (CPT code(s) 86366).


Preferred Specimen
3 mL serum


Minimum Volume
0.7 mL


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: 72 hours
Refrigerated: 14 days
Frozen: 30 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolysis • Lipemia • Microbially contaminated


Methodology
Immunoassay (IA)

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule
Set up: See individual assays; Report available: 8 days


Reference Range
See Laboratory Report


Clinical Significance
Myasthenia gravis (MG) is an autoimmune disorder affecting the neuromuscular junction. 80% of patients with generalized MG have serum antibodies to AChR - Blocking, Binding, or Modulating. Antibodies to MuSK make up a variable proportion of the remaining 20%.




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.