Beta-2 Transferrin, Body Fluid

Message
Must specify body fluid type in Cerner.


Test Code
B2TRANS BF


Quest Code
10640


CPT Codes
86335

Preferred Specimen
0.5 mL body fluid collected in a sterile leak-proof container


Minimum Volume
0.2 mL


Other Acceptable Specimens
See Collection Instructions


Instructions
• Indicate specimen source.
• If direct collection is not feasible, specimen may be collected using plain cotton swab and submitted in a sterile, plastic leak-proof transport tube.
• If submitting syringe, remove needle and cap the syringe to avoid specimen leakage.
• Do not collect specimen with a culture swab.
• Do not add any liquid to the swab.
⁠⁠⁠⁠⁠⁠⁠
• Specimens contaminated with salivary fluid degrade the beta-2 transferrin. These specimens should be frozen immediately following collection and should be kept frozen until testing is performed.
• Specimens collected with additives yield uninterpretable results and will be rejected.


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 15 days
Refrigerated: 30 days
Frozen: 60 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimens collected with additives


Methodology
Electrophoresis • Immunofixation

FDA Status
FDA Approved

Setup Schedule
A.M.


Reference Range
Not detected


Clinical Significance
Presence of Beta-2 Transferrin (B2T) in nose and ear secretions is indicative of cerebrospinal fluid (CSF) leakage. B2T is used as a marker of CSF leakage for the diagnosis of rhinorrhea or otorrhea as a result of head trauma, tumor, congenital malformation, surgery etc. Prompt diagnosis and localization helps localization and life-threatening CNS infections.


Performing Laboratory
Quest Diagnostics Chantilly Nichols Institute
14225 Newbrook Dr.
Chantilly, VA 20151-2228



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.