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Test Directory

NMO/AGP4 FACS, CSF

Test Summary

Diagnosis of a neuromyelitis optica spectrum disorder (NMOSD), Diagnosis of autoimmune AQP4 channelopathy, Distinguishing NMOSD from multiple sclerosis early in the course of disease

Aliases

  • NMO (Neuromyelitis Optica), Aquaporin, Devic'
  • s Antibody, Optic Neuritis Antibody, Transverse Myelitis Antibody

Specimen Collection

Special Instructions

N/A

Preferred Specimen

3 mL CSF

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

N/A

Unacceptable Specimens

N/A

Order Code

NMOFC

EPIC (Premier) Code

LAB6450

Includes

N/A

CPT Code

  • 86053
  • 86256 if appropriate

Billing Code

  • 650025

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

3 mL CSF

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

N/A

Unacceptable Specimens

N/A

Billing

CPT Code

  • 86053
  • 86256 if appropriate

Billing Code

  • 650025

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