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Test Directory

Muscle Specific Kinase (MUSK) Autoantibody, Serum

Test Summary

Diagnosis of autoimmune muscle-specific kinase (MuSK) myasthenia gravis Second-order test to aid in the diagnosis of autoimmune myasthenia gravis when first-line serologic tests are negative Establishing a quantitative baseline value for MuSK antibodies that allows comparison with future levels if weakness is worsening.

Aliases

  • N/A

Specimen Collection

Special Instructions

N/A

Preferred Specimen

1.5 mL serum from a red top tube

Minimum Volume

1 mL

Instructions

N/A

Patient Preparation

N/A

Storage

Plastic screw-cap vial

Transport Temperature

Refrigerated

Specimen Stability

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

Limitations

Immunosuppressant therapy is a common cause of false-seronegativity. It is, therefore, important to perform a comprehensive serological evaluation before initiating immunosuppressant therapy. Interpretation of a patient’s serological and clinical status is further complicated when characteristic signs of myasthenia gravis are obscured by a superimposed steroid-induced myopathy.

Other Acceptable Specimens

Serum from a serum separator tube

Unacceptable Specimens

Gross hemolysis, gross lipemia, gross icterus

Order Code

MUSK

EPIC (Premier) Code

LAB6427

Includes

N/A

CPT Code

  • 86366

Billing Code

  • 650022

CPT Statement

Methodology

Radioimmunoassay (RIA)

FDA Status

This test was developed using an analyte specific reagent. Its performance characteristics were determined by Mayo Clinic in a manner consistent with CLIA requirements. This test 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 - Friday; Report available: 3 - 10 days

Specimen Collection

Special Instructions

N/A

Preferred Specimen

1.5 mL serum from a red top tube

Minimum Volume

1 mL

Instructions

N/A

Patient Preparation

N/A

Storage

Plastic screw-cap vial

Transport Temperature

Refrigerated

Specimen Stability

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

Limitations

Immunosuppressant therapy is a common cause of false-seronegativity. It is, therefore, important to perform a comprehensive serological evaluation before initiating immunosuppressant therapy. Interpretation of a patient’s serological and clinical status is further complicated when characteristic signs of myasthenia gravis are obscured by a superimposed steroid-induced myopathy.

Other Acceptable Specimens

Serum from a serum separator tube

Unacceptable Specimens

Gross hemolysis, gross lipemia, gross icterus

Billing

CPT Code

  • 86366

Billing Code

  • 650022

CPT Statement

Result Information

Methodology

Radioimmunoassay (RIA)

Testing Laboratory

N/A

Reference Range

N/A

Setup Schedule / Expected Turnaround Time

Monday - Friday; Report available: 3 - 10 days