Encephalopathy Autoimmune Evaluation, CSF
Test Summary
Evaluating new onset encephalopathy (noninfectious or metabolic) comprising confusional states, psychosis, delirium, memory loss, hallucinations, movement disorders, sensory or motor complaints, seizures, dyssomnias, ataxias, nausea, vomiting, inappropriate antidiuresis, coma, dysautonomia's, or hypoventilation in spinal fluid specimens The following accompaniments should increase of suspicion for autoimmune encephalopathy: -Headache -Autoimmune stigmata (personal or family history or signs of diabetes mellitus, thyroid disorder, vitiligo, poliosis [premature graying], myasthenia gravis, rheumatoid arthritis, systemic lupus erythematosus) -History of cancer -Smoking history (20+ pack years) or other cancer risk factors -Inflammatory cerebrospinal fluid (or isolated protein elevation) -Neuroimaging signs suggesting inflammation Evaluating limbic encephalitis (noninfectious) Directing a focused search for cancer Investigating encephalopathy appearing in the course or wake of cancer therapy and not explainable by metastasis or drug effect.
Aliases
- Mayo code ENC2
- Limbic encephalitis
Specimen Collection
Special Instructions
Preferred Specimen
Minimum Volume
Instructions
Patient Preparation
Storage
Transport Temperature
Specimen Stability
- Room Temperature: 72 hours
- Refrigerated: 28 days
- Frozen: 28 days
Limitations
Other Acceptable Specimens
Unacceptable Specimens
- Gross hemolysis
- Gross lipemia
- Gross icterus
Order Code
EPIC (Premier) Code
Includes
CPT Code
- 86341
- 86255 (x26)
- 0432U
- 83516
Billing Code
- 650012
- 650013
- 671403
- 671404
CPT Statement
Methodology
Cell-Binding Assay (CBA),
Western Blot (WB),
Immunoblot (IB),
Radioimmunoassay (RIA)
FDA Status
Physician Attestation of Informed Consent
Testing Laboratory
200 First Street SW
Rochester MN, 55905
Department
Reference Range
Setup Schedule / Expected Turnaround Time
Specimen Collection
Special Instructions
Preferred Specimen
Minimum Volume
Instructions
Patient Preparation
Storage
Transport Temperature
Specimen Stability
- Room Temperature: 72 hours
- Refrigerated: 28 days
- Frozen: 28 days
Limitations
Other Acceptable Specimens
Unacceptable Specimens
- Gross hemolysis
- Gross lipemia
- Gross icterus
Billing
CPT Code
- 86341
- 86255 (x26)
- 0432U
- 83516
Billing Code
- 650012
- 650013
- 671403
- 671404
CPT Statement
Result Information
Methodology
Cell-Binding Assay (CBA),
Western Blot (WB),
Immunoblot (IB),
Radioimmunoassay (RIA)