Acetylcholine Receptor Modulating Antibody

Test Code
1517

Test Details


Test code:1517
Type of disorder:Neuromuscular Disorders
Disease(s) tested for:Myasthenia Gravis (MG)
Profiles that contain this test:Myasthenia Gravis Panel 2
Myasthenia Gravis Panel 2 with Reflex to MuSK Antibody
Special Notes:Performing site: Quest Diagnostics Nichols Institute, San Juan Capistrano

Technical Information


Clinical Significance:

​Myasthenia Gravis (MG) is an autoimmune neuromuscular disorder characterized by muscle weakness,
most commonly due to autoantibody-mediated loss of functional acetylcholine receptors (AChR) in the
neuromuscular junction. AChR binding autoantibodies are diagnostic of MG, and are found in 85-90% of
MG patients. AChR modulating antibodies cross-link AChR molecules on cell surface, promoting
internalization, and decreasing AChR surface density. The AChR binding and modulating antibody assays
have similar sensitivities, but performing them together increases sensitivity of antibody detection by
approximately 5%.

Methodology: Radiobinding Assay
Reference Range:<32 % of binding inhibition

CPT Coding


The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

CPT:86043(1)

Specimen Requirements


Please label each specimen tube with two forms of patient identification. These forms of identification must also appear on the requisition form.

Specimen Type:Serum
Specimen Stability:
Specimen Requirements: 1 mL (0.5 mL minimum) serum in a Red-top tube or Serum Separator Tube (SST)

Shipping Considerations


Transport Temperature:Room temperature
Set-up/Analytic Time:2-7 days

Additional Resources

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