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Myelin Oligodendrocyte Glycoprotein (MOG-IgG1)

Test Summary

Diagnosis of inflammatory demyelinating diseases (IDD) with similar phenotype to neuromyelitis optica spectrum disorder (NMOSD), including optic neuritis (single or bilateral) and transverse myelitis

Diagnosis of autoimmune myelin oligodendrocyte glycoprotein (MOG)-opathy

Diagnosis of neuromyelitis optica (NMO)

Aliases

  • N/A

Specimen Collection

Special Instructions

N/A

Preferred Specimen

2 mL serum from a red top tube.

Minimum Volume

1 mL

Instructions

N/A

Patient Preparation

N/A

Storage

Plastic 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

MOGFS

EPIC (Premier) Code

LAB6606

Includes

N/A

CPT Code

  • 86363
  • 86256 if appropriate

Billing Code

  • 650020

CPT Statement

Methodology

Flow Cytometry (FC)

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, Tuesday, Thursday; Report available: 5 - 8 days

Specimen Collection

Special Instructions

N/A

Preferred Specimen

2 mL serum from a red top tube.

Minimum Volume

1 mL

Instructions

N/A

Patient Preparation

N/A

Storage

Plastic 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

  • 86363
  • 86256 if appropriate

Billing Code

  • 650020

CPT Statement

Result Information

Methodology

Flow Cytometry (FC)

Testing Laboratory

N/A

Reference Range

N/A

Setup Schedule / Expected Turnaround Time

Monday, Tuesday, Thursday; Report available: 5 - 8 days