Dementia Autoimmune Evaluation, CSF
Order Code:
DMC2
Test Summary
Investigating new onset dementia and cognitive impairment plus 1 or more of the following accompaniments using cerebrospinal fluid specimens: -Rapid onset and progression -Fluctuating course -Psychiatric accompaniments (psychosis, hallucinations) -Movement disorder (myoclonus, tremor, dyskinesias) -Headache -Autoimmune stigmata (personal history or family history or signs of diabetes mellitus, thyroid disorder, vitiligo, poliosis [premature graying], myasthenia gravis, rheumatoid arthritis, systemic lupus erythematosus) -Smoking history (20+ pack years) or other cancer risk factors -History of cancer -Inflammatory cerebrospinal fluid -Neuroimaging findings atypical for degenerative etiology.
Aliases
- N/A
Specimen Collection
Special Instructions
N/A
Preferred Specimen
4 mL CSF in collection vial number 1
Minimum Volume
2 mL
Instructions
N/A
Patient Preparation
N/A
Storage
Sterile Vial
Transport Temperature
Refrigerated
Specimen Stability
- Room Temperature: 72 hours
- Refrigerated: 28 days
- Frozen: 28 days
Limitations
N/A
Other Acceptable Specimens
Any CSF collection vial
Unacceptable Specimens
Gross hemolysis, gross lipemia, gross icterus
Order Code
DMC2
EPIC (Premier) Code
LAB6440
Includes
N/A
CPT Code
- 86255 (21)
- 86341 --84182 AGNBC (if appropriate) 86255 AINCC (if appropriate) 86256 AMPIC (if appropriate) 84182 AMIBC (if appropriate) 84182 AN1BC (if appropriate) 84182 AN2BC (if appropriate) 84182 CRMWC (if appropriate) 86255 DPPCC (if appropriate) 86256 DPPTC (if appropriate) 86256 GABIC (if appropriate) 86255 GFACC (if appropriate) 86256 GFATC (if appropriate) 86255 IG5CC (if appropriate) 86256 IG5TC (if appropriate) 86255 GL1CC (if appropriate) 86256 GL1TC (if appropriate) 86255 NFHCC (if appropriate) 86256 NIFTC (if appropriate) 86255 NFLCC (if appropriate) 86256 NMDIC (if appropriate) 84182 PC1BC (if appropriate) 84182 PCTBC (if appropriate) 86255 PCA1C (if appropriate)
Billing Code
- 650008
- 650007
CPT Statement
Methodology
Indirect Immunofluorescence Assay (IFA),
Cell-Binding Assay (CBA),
Western Blot (WB),
Immunoblot (IB),
Radioimmunoassay (RIA)
Cell-Binding Assay (CBA),
Western Blot (WB),
Immunoblot (IB),
Radioimmunoassay (RIA)
FDA Status
This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.
Physician Attestation of Informed Consent
N/A
Testing Laboratory
Mayo Clinic Laboratories
200 First Street SW
Rochester MN, 55905
200 First Street SW
Rochester MN, 55905
Department
Reference Testing
Reference Range
N/A
Setup Schedule / Expected Turnaround Time
Monday - Sunday; Report available: 8 -12 days
Specimen Collection
Special Instructions
N/A
Preferred Specimen
4 mL CSF in collection vial number 1
Minimum Volume
2 mL
Instructions
N/A
Patient Preparation
N/A
Storage
Sterile Vial
Transport Temperature
Refrigerated
Specimen Stability
- Room Temperature: 72 hours
- Refrigerated: 28 days
- Frozen: 28 days
Limitations
N/A
Other Acceptable Specimens
Any CSF collection vial
Unacceptable Specimens
Gross hemolysis, gross lipemia, gross icterus
Billing
CPT Code
- 86255 (21)
- 86341 --84182 AGNBC (if appropriate) 86255 AINCC (if appropriate) 86256 AMPIC (if appropriate) 84182 AMIBC (if appropriate) 84182 AN1BC (if appropriate) 84182 AN2BC (if appropriate) 84182 CRMWC (if appropriate) 86255 DPPCC (if appropriate) 86256 DPPTC (if appropriate) 86256 GABIC (if appropriate) 86255 GFACC (if appropriate) 86256 GFATC (if appropriate) 86255 IG5CC (if appropriate) 86256 IG5TC (if appropriate) 86255 GL1CC (if appropriate) 86256 GL1TC (if appropriate) 86255 NFHCC (if appropriate) 86256 NIFTC (if appropriate) 86255 NFLCC (if appropriate) 86256 NMDIC (if appropriate) 84182 PC1BC (if appropriate) 84182 PCTBC (if appropriate) 86255 PCA1C (if appropriate)
Billing Code
- 650008
- 650007
CPT Statement
Result Information
Methodology
Indirect Immunofluorescence Assay (IFA),
Cell-Binding Assay (CBA),
Western Blot (WB),
Immunoblot (IB),
Radioimmunoassay (RIA)
Cell-Binding Assay (CBA),
Western Blot (WB),
Immunoblot (IB),
Radioimmunoassay (RIA)
Testing Laboratory
N/A
Reference Range
N/A
Setup Schedule / Expected Turnaround Time
Monday - Sunday; Report available: 8 -12 days