SensoriMotor Neuropathy Profile with Recombx®-Complete

Test Code
94604


CPT Codes
83520 (x10)

Includes
Co-GM1 Autoantibody Test
Co-Asialo-GM1 Autoantibody Test
Co-GD1b Autoantibody Test
GD1a Autoantibody Test
GALOP Autoantibody Test
SGPG Autoantibody Test
MAG Autoantibody Test
Recombx® Hu Autoantibody Test
Sulfatide Autoantibody Test


Preferred Specimen
2 mL serum


Minimum Volume
0.5 mL


Instructions
Serum must be separated from cells within 48 hours of collection.

Note: Please label each specimen tube with two forms of patient identification. These forms of identification must also appear on the requisition form.


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: 72 hours
Refrigerated: 21 days
Frozen: 28 days


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


Methodology
Automated Nanoliter Scale Immunoassay • Enzyme Linked Immunosorbent Assay (ELISA) • Western Blot (WB)

FDA Status
This test was developed and its analytical performance characteristics have been determined by Athena Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule
Sets up 2 days a week.


Clinical Significance
Anti-MAG, anti-SGPG, anti-GM1, anti-GD1a, anti-GD1b, anti-asialo GM1, anti-sulfatide, anti-Hu, and IgM GALOP antibodies are found in patients with a peripheral neuropathy and mixed sensory and motor symptoms. This semi-quantitative assay may be useful in monitoring therapeutic responses in select cases.




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.