Beta-Amyloid 42/40 Ratio, CSF

Test Code
94627


CPT Codes
82542<br>This test is not available for New York patient testing

Preferred Specimen
1.2 mL CSF collected in a 12 X 75 mm polypropylene tube


Minimum Volume
0.6 mL


Instructions

Collect and transport CSF in a 12 X 75 mm polypropylene tube. Store frozen.

Quest Diagnostics does not perform this test for individuals under the age of 18. Pre-test and post-test counseling is strongly recommended.



Transport Temperature
Frozen


Specimen Stability
Room temperature: 72 hours
Refrigerated: 5 days
Frozen: 31 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimen collected in a glass, polystyrene or polycarbonate tube • Hemolysis • Moderately and grossly icteric • Grossly lipemic


Methodology
Liquid Chromotography/Tandem Mass Spectrometry (LC/MS/MS)

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest 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
Set up: Sun; Report available: 3-10 days


Reference Range
See Laboratory Report


Clinical Significance
This LC-MS/MS assay measures beta-amyloid 40 (AB40) as well as AB42 in cerebrospinal fluid (CSF), rather than AB42 alone. This permits the normalization of beta amyloid levels circulating in CSF in different patients. Using the ratio of beta-amyloid 42/beta-amyloid 40, improves sensitivity and specificity for detecting Alzheimer's disease.


Performing Laboratory
Quest Diagnostics Nichols Institute-San Juan Capistrano, CA
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042



Last Updated: March 17, 2023


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.