C1 Esterase Inhibitor, Functional

Test Code
297


CPT Codes
86161

Preferred Specimen
1 mL frozen serum collected in a red-top tube (no gel)


Minimum Volume
0.2 mL


Instructions
Freeze serum within 1 hour of time drawn.
Do not use gel barrier tubes. Do not submit the sample in a glass tube. Do not thaw.


Transport Container
Transport tube


Transport Temperature
Frozen


Specimen Stability
Room temperature: Unacceptable
Refrigerated: Unacceptable
Frozen: 30 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Grossly lipemic • Serum separator tube (SST) • Received thawed


Methodology
Enzyme Immunoassay (EIA)

Setup Schedule
a.m. Tues, Fri


Report Available
5 days


Clinical Significance
C1 esterase is decreased in angioedema. The inherited form is usually diagnosed in the first two decades of life. The acquired form affects primarily adults with autoimmune or lymphoproliferative disorders. Approximately 15% of patients with hereditary angioedema have a normal concentration of the protein but it is dysfunctional.


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



Last Updated: November 6, 2024


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.