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Dementia Autoimmune Evaluation, Serum

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 serum from a red top tube

Minimum Volume

2.5 mL

Instructions

N/A

Patient Preparation

For optimal antibody detection, specimen collection is recommended before initiation of immunosuppressant medication or intravenous immunoglobulin treatment. For 24 hours before specimen collection, patient should not receive general anesthetic or take muscle-relaxant drugs.

Storage

Plastic screw-cap vial

Transport Temperature

Refrigerated

Specimen Stability

  • Room Temperature: 72 hours
  • Refrigerated: 28 days
  • Frozen: 28 days

Limitations

N/A

Other Acceptable Specimens

Serum from a serum separator tube

Unacceptable Specimens

Gross hemolysis, gross lipemia, gross icterus

Order Code

DMS2

EPIC (Premier) Code

LAB6503

Includes

N/A

CPT Code

  • 86255 x 21
  • 86341
  • 83519-ARBI (if appropriate)
  • 84182-AGNBS (if appropriate)
  • 86255-AINCS (if appropriate)
  • 86256-AMPIS (if appropriate)
  • 84182-AMIBS (if appropriate)
  • 84182-AN1BS (if appropriate)
  • 84182-AN2BS (if appropriate)
  • 84182-CRMWS (if appropriate)
  • 86255-DPPCS (if appropriate)
  • 86256-DPPTS (if appropriate)
  • 86256-GABIS (if appropriate)
  • 86255-GFACS (if appropriate)
  • 86256-GFATS (if appropriate)
  • 86255-IG5CS (if appropriate)
  • 86256-IG5TS (if appropriate)
  • 86255-GL1CS (if appropriate)
  • 86256-GL1TS (if appropriate)
  • 86255-NFHCS (if appropriate)
  • 86256-NIFTS (if appropriate)
  • 86255-NFLCS (if appropriate)
  • 86256-NMDIS (if appropriate)
  • 84182-PC1BS (if appropriate)
  • 86255-PCABP (if appropriate)
  • 84182-PCTBS (if appropriate)

Billing Code

  • 650010
  • 650009

CPT Statement

Methodology

Indirect Immunofluorescence Assay (IFA),
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

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 serum from a red top tube

Minimum Volume

2.5 mL

Instructions

N/A

Patient Preparation

For optimal antibody detection, specimen collection is recommended before initiation of immunosuppressant medication or intravenous immunoglobulin treatment. For 24 hours before specimen collection, patient should not receive general anesthetic or take muscle-relaxant drugs.

Storage

Plastic screw-cap vial

Transport Temperature

Refrigerated

Specimen Stability

  • Room Temperature: 72 hours
  • Refrigerated: 28 days
  • Frozen: 28 days

Limitations

N/A

Other Acceptable Specimens

Serum from a serum separator tube

Unacceptable Specimens

Gross hemolysis, gross lipemia, gross icterus

Billing

CPT Code

  • 86255 x 21
  • 86341
  • 83519-ARBI (if appropriate)
  • 84182-AGNBS (if appropriate)
  • 86255-AINCS (if appropriate)
  • 86256-AMPIS (if appropriate)
  • 84182-AMIBS (if appropriate)
  • 84182-AN1BS (if appropriate)
  • 84182-AN2BS (if appropriate)
  • 84182-CRMWS (if appropriate)
  • 86255-DPPCS (if appropriate)
  • 86256-DPPTS (if appropriate)
  • 86256-GABIS (if appropriate)
  • 86255-GFACS (if appropriate)
  • 86256-GFATS (if appropriate)
  • 86255-IG5CS (if appropriate)
  • 86256-IG5TS (if appropriate)
  • 86255-GL1CS (if appropriate)
  • 86256-GL1TS (if appropriate)
  • 86255-NFHCS (if appropriate)
  • 86256-NIFTS (if appropriate)
  • 86255-NFLCS (if appropriate)
  • 86256-NMDIS (if appropriate)
  • 84182-PC1BS (if appropriate)
  • 86255-PCABP (if appropriate)
  • 84182-PCTBS (if appropriate)

Billing Code

  • 650010
  • 650009

CPT Statement

Result Information

Methodology

Indirect Immunofluorescence Assay (IFA),
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