Motor Neuropathy Profile : 1004865

Test Code
1004865

CPT Codes
84155, 84165, 82784x3, 83516

Includes
This test includes the following individual tests:

Test Name                                                                                                                            Order code             Interface Code
Protein Electrophoresis, Serum                                                                                              SPE                        1000864
Immunoglobulin Profile                                                                                                         IGP                         1000571
Myelin Associated Glycoprotein (MAG) Antibody, IgM                                                               MAGIGM                  1003051

Instructions
Serum separator tube (gold top preferred) or a plain red top tube.

Transport Container
Centrifuge the serum separator tube and transport; if a plain red top tube, centrifuge and aliquot serum (Min. 3.0 mL) into a standard transport tube.

Transport Temperature
Refrigerated.

Specimen Stability
Refer to Individual Test Codes.

Methodology
Refer to Individual Test Codes.

Setup Schedule
Refer to Individual Test Codes.

Report Available
Refer to Individual Test Codes.

Reference Range
Refer to Individual Test Codes.

Performing Laboratory
med fusion and ARUP Laboratories



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.