C1 Esterase Inhibitor, Functional

Test Code
C1 FUNCTIONAL(297)

Quest Code
297

CPT Codes
86161

Preferred Specimen
1 mL frozen serum collected in a red-top tube (no gel)

Minimum Volume
0.2 mL

Transport Temperature
Frozen

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

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Grossly lipemic • Received thawed • Received room temperature • Received refrigerated • Serum Separator Tube (SST®)

Methodology
Enzyme Immunoassay (EIA)

Setup Schedule
Tue, Fri

Report Available
1 to 5 Day(s)

Reference Range
≥68 % Normal
41-67 % Equivocal
≤40 % Abnormal

Less than 40% of the reference functional activity indicates a likely diagnosis of hereditary angioedema or acquired C1 Inhibitor deficiency.

Clinical Significance
C1 esterase is decreased in angioedema. The inherited form is usually diagnosed in the first two decades of life. The acquired form affects primarily adults with autoimmune or lymphoproliferative disorders. Approximately 15% of patients with hereditary angioedema have a normal concentration of the protein but it is dysfunctional.

Performing Laboratory
Quest Diagnostics Nichols Institute
27027 Tourney Road
Valencia, CA 91355-5386



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.