| Test code: | 3163 |
| Type of disorder: | Peripheral Neuropathy, Autoimmune |
| Disease(s) tested for: | Motor Peripheral Neuropathy |
| Tests included: | Co-Asialo Autoantibody Test Co-GD1b Autoantibody Test Co-GM1 Autoantibody Test GD1a AutoantibodyTest MAG ‘Dual Antigen’™ Autoantibody Test |
| Clinical Significance: | Anti-GM1, anti-GD1a, anti-asialo- GM1, anti-GD1b, anti-MAG, and anti-SGPG antibodies are found in patients with a peripheral neuropathy and predominantly motor symptoms. |
| Methodology: | ELISA , Western Blot |
| Reference Range: | See Laboratory Report |
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: | 83520(6) |
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: | Room temperature: 72 hours, Refrigerated: 21 days, Frozen: 4 months, |
| Specimen Requirements: | 2 mL (0.5 mL minimum) serum in a Red-top tube or Serum Separator Tube (SST) |
| Instructions: | Serum must be separated from whole blood within 48 hours of collection. |
| Transport Temperature: | Refrigerated |
| Reject Criteria | Hemolyzed; icteric; lipemic |
| Set-up/Analytic Time: | 7-10 days |
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