Neuromyelitis Optica/Aquaporin-4-IgG Cell-Binding Assay, CSF

Test Code

NEUR OPT CSF (MAYO)

CPT Codes
86255

Physician Attestation of Informed Consent

Include relevant clinical informatoin, name, phone number, mailing address, and e-mail address (If applicable) of ordering physician

Preferred Specimen

CSF 1.0 mL

Minimum Volume

0.5 mL

Instructions

Include relevant clinical informatoin, name, phone number, mailing address, and e-mail address (If applicable) of ordering physician

Specimen Stability

REF: 28 DAYS
FRO: 28 DAYS
AMB: 72 HRS

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

Gross hemolysis • Grossly icterus

Methodology
Cell Binding Assay (CBA) • Indirect Fluorescent Antibody (IFA)

Clinical Significance

Diagnosis of a neuromyelitis optica spectrum disorder (NMOSD). Distinguishing NMOSD from multipile sclerosis early in the course of disease.

Performing Laboratory
Mayo Medical Laboratories 200 First Street SW Rochester, MN 55905

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.