NMDA Receptor Antibody Test (ARPD)

Test Code
94199


CPT Codes
86255<br>Limited Access Code

Physician Attestation of Informed Consent
This germline genetic test requires physician attestation that patient consent has been received if ordering medical facility is located in AK, DE, FL, GA, IA, MA, MN, NV, NJ, NY, OR, SD or VT or test is performed in MA.


Preferred Specimen
2 mL serum


Minimum Volume
0.5 mL


Other Acceptable Specimens
CSF collected in a sterile, leak-proof container


Instructions

Serum must be separated from whole blood within 48 hours of collection.

Please label each specimen tube with two forms of patient identification. These forms of identification must also appear on the requisition form.



Transport Temperature
Serum: Room temperature
CSF: Refrigerated (cold packs)


Specimen Stability
Serum
Room temperature: 72 hours
Refrigerated: 28 days
Frozen: 1 year

CSF
Room temperature: 72 hours
Refrigerated: 28 days
Frozen: 28 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Turbid • Bacterial contamination


Methodology
Immunofluorescence Assay

Setup Schedule
Set up: Sun-Thurs; Report available: 5-7 days


Clinical Significance
Detection of anti-NMDA receptor (NR1-subunit) antibody, associated with Autoimmune Rapidly Progressive Dementia.




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.