CSF 14-3-3 Protein

Message
Specimen sent to:
National Prion Disease Pathology Surveillance Center
Case Western Reserve University
Clevland, OH


Test Code
1433


Alias/See Also
1433
LAB0000667


CPT Codes
0035U, 83520 (X2)

Preferred Specimen
5 mL CSF and 100-200 mL urine


Patient Preparation
Complete the National Prion Requsition "Test Request Form",  available on the website at National Prion Disease Pathology Surveillance with the sample.

Instructions
Collect CSF by lumbar puncture. Discard first 2 mL that flows from tap. Collect next 5 mL CSF, avoiding bloody tap.

Freeze within 20 minutes of collection. Store and transport frozen. Ship using a styrofoam container with sufficient dry ice (5 lbs/24 hours). The NPDPSC requests a urine sample for research purposes with all CSF samples if available.

**Please note: Patient is also asked to submit a frozen urine sample (100-200 mL) for validation of a recently published diagnostic test on Creutzfeldt-Jakob disease; no report will be issued. Please inform patient and/or family that urine is used for research on a diagnostic test and obtain oral consent.


Transport Temperature
Frozen


Specimen Stability
Room temperature: 24 hours
Refrigerated: 14 days
Frozen: Indefinitely


Methodology
Immunoassay
RT-QuIC

Setup Schedule
Tuesdays and Thursdays


Report Available
21 days


Reference Range
See Patient Report for Reference Ranges


Clinical Significance
Search for the presence of the 14-3-3 protein. The 14-3-3 protein is a marker for some prion diseases, such as Creutzfeldt-Jakob disease (CJD), when a number of other neurodegenerative conditions are excluded.


Performing Laboratory
National Prion Disease Pathology Surveillance Center



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.