Meningoencephalitis (Encephalitis) Panel (CSF)

Test Code
91160

CPT Codes
86735 (x2), 86727 (x2), 86652 (x2), 86651 (x2), 86653 (x2), 86654 (x2), 86788, 86789, 86695 (x2), 86696 (x2)

Includes
California Encephalitis Virus Antibody Panel, IFA, CSF
Eastern Equine Encephalitis Virus Antibody, IFA, CSF
St. Louis Encephalitis Virus Antibody, IFA, CSF
Western Equine Encephalitis Virus (IgG, IgM) Antibody Panel, IFA, CSF
West Nile Virus Antibodies (IgG, IgM), CSF
Lymphocytic Choriomeningitis (LCM) Virus (IgG, IgM) Antibody, IFA, CSF
Mumps Antibody Panel, IFA, CSF
Herpes Simplex Virus 1/2 (IgG) Type Antibody, CSF
Herpes Simplex Virus 1/2 Antibody (IgM), IFA with Reflex to Titer, CSF

If HSV 1 IgM screen is positive, then HSV 1 IgM Titer will be performed at an additional charge (CPT code(s): 86695).
If HSV 2 IgM Screen is positive, then HSV 2 IgM Titer will be performed at an additional charge (CPT code(s): 86696).

Preferred Specimen
5 mL CSF collected in a sterile plastic leak-proof container

Minimum Volume
2.7 mL

Transport Temperature
Refrigerated (cold packs)

Specimen Stability
Room temperature: Unacceptable
Refrigerated: 7 days
Frozen: 30 days

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
See individual tests

Methodology
See individual tests

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 U.S. Food and Drug Administration. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule
Set up: Mon, Wed-Sat; Report available: 2-4 days

Reference Range
See individual tests

Clinical Significance
This panel may assist in identifying infectious agents causing encephalitis or meningoencephalitis.

Performing Laboratory

Quest Diagnostics Infectious Disease, Inc.

33608 Ortega Highway, Bldg B-West Wing

San Juan Capistrano, CA 92675-2042

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.