Protein, Total and Protein Electrophoresis, CSF

Test Code
749


CPT Codes
84157, 84166

Includes
Protein, Total, CSF
Protein Electrophoresis, CSF


Preferred Specimen
6 mL CSF collected in a sterile, leak-proof CSF container


Minimum Volume
3.5 mL


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 28 days


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


Methodology
Agarose Gel Electrophoresis • Spectrophotometry (SP)

Setup Schedule
Set up: Mon-Sat; Report available: 3-5 days


Reference Range
Protein, Total, CSF
  <1 month 15-100 mg/dL
  1 month-60 years 15-45 mg/dL
  >60 years 15-60 mg/dL
Prealbumin  1.3-6.9 %
Albumin 51.9-67.8 %
Alpha-1-Globulin  1.8-6.5 %
Alpha-2-Globulin 4.6-10.8 %
Beta Globulin 7.8-18.2 %
Gamma Globulin 4.8-17.6 %


Clinical Significance
To evaluate protein composition of cerebrospinal fluid and may be useful in neurological diseases or tumors in central nervous system. This assay is not recommended for the assessment of multiple sclerosis for which oligoclonal bands in CSF and serum should be ordered.




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.