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Hu Antibody Screen with Reflex to Titer and Western Blot, CSF

Test Summary

Paraneoplastic Syndrome involves non-metastatic systemic effects that accompany malignant disease. Antineuronal Nuclear Antibody (Anti-Hu) is found in 5-10% of patients with small cell carcinoma of the lung. Anti-Hu is associated with subacute syndrome of encephalomyeloradiculopathy, sensory neuropathy, and autoimmune neuropathy, predominantly affecting the gastrointestinal tract.

Aliases

  • N/A

Specimen Collection

Special Instructions

N/A

Preferred Specimen

3 mL CSF

Minimum Volume

1.5 mL

Instructions

N/A

Patient Preparation

Overnight fasting is preferred

Storage

Sterile screw-cap container

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

  • Room temperature: Unacceptable
  • Refrigerated: 7 days
  • Frozen: 6 months

Limitations

N/A

Other Acceptable Specimens

N/A

Unacceptable Specimens

Received room temperature

Order Code

HUCSF

EPIC (Premier) Code

LAB3906

Includes

If Hu Antibody Screen, IFA, CSF is positive, then Hu Antibody, WB, CSF will be performed at an additional charge (CPT code(s): 84181).
If Hu Antibody, WB, CSF is positive, then Hu Antibody Titer, CSF will be performed at an additional charge (CPT code(s): 86256).

CPT Code

  • 86255

Billing Code

  • 670072

CPT Statement

Methodology

Immunofluorescence Assay (IFA) • Western Blot (WB)

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 the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Physician Attestation of Informed Consent

N/A

Testing Laboratory

Quest Diagnostics Nichols Institute
33608 Ortega Highway
San Juan Capistrano CA, 92675

Department

Reference Testing

Reference Range

Hu Ab Screen, IFA, CSFNegative
  Hu Ab, WB, CSFNegative
  Hu Ab Titer, CSFNo Hu Antibodies detected in undiluted CSF samples

Setup Schedule / Expected Turnaround Time

Monday, Wednesday, Friday morning; Report available: 4 days

Specimen Collection

Special Instructions

N/A

Preferred Specimen

3 mL CSF

Minimum Volume

1.5 mL

Instructions

N/A

Patient Preparation

Overnight fasting is preferred

Storage

Sterile screw-cap container

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

  • Room temperature: Unacceptable
  • Refrigerated: 7 days
  • Frozen: 6 months

Limitations

N/A

Other Acceptable Specimens

N/A

Unacceptable Specimens

Received room temperature

Billing

CPT Code

  • 86255

Billing Code

  • 670072

CPT Statement

Result Information

Methodology

Immunofluorescence Assay (IFA) • Western Blot (WB)

Testing Laboratory

N/A

Reference Range

Hu Ab Screen, IFA, CSFNegative
  Hu Ab, WB, CSFNegative
  Hu Ab Titer, CSFNo Hu Antibodies detected in undiluted CSF samples

Setup Schedule / Expected Turnaround Time

Monday, Wednesday, Friday morning; Report available: 4 days