Immunoglobulin Kappa Free Light Chain, Spinal Fluid

Test Code
18408


CPT Codes
83521<br>Restricted Client Code

Preferred Specimen
1 mL CSF collected in a sterile vial


Minimum Volume
0.5 mL


Transport Temperature
Frozen


Specimen Stability
Room temperature: 24 hours
Refrigerated: 72 hours
Frozen: 28 days


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


Methodology
Nephelometry

Setup Schedule
Set up: Mon-Fri; Report available: 1-3 days


Reference Range
Medical Decision Point: 0.1000 mg/dL
Positive: ≥ 0.1000 mg/dL
Borderline: 0.0600 mg/dL-0.0999 mg/dL
Negative <0.0600 mg/dL


Clinical Significance
⁠⁠⁠⁠⁠⁠⁠Diagnosing multiple sclerosis and other demyelinating conditions.

Evaluating patients who present with a clinically isolated syndrome in which the patient reports symptoms (headaches, optic neuritis, fatigue, and many others, depending on the disease location) characteristic of inflammation and demyelination of the central nervous system.

Recommended in cases where the imaging findings are atypical and in populations in which multiple sclerosis is less common (eg, children, older individuals, or non-White populations).

The test is not useful when a clear diagnosis is already known because a positive result does not correlate with severity of the disease or diseases outcomes.




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.