3004517
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Paraneoplastic Reflexive Panel, CSF

PNSPAN CSF
Example Reports
Negative
Positive

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Additional Technical Information

Ordering Recommendation

Aids in the diagnosis of paraneoplastic neurologic syndromes. 
This test only evaluates for the presence of high-risk paraneoplastic antibodies, independent of neurologic phenotype. Targeted phenotype-specific panels are preferred for the evaluation of autoimmune neurologic disease. Refer to the Paraneoplastic Reflexive Panel, Serum and CSF Test Fact Sheet for phenotype-specific test options.
Testing in both serum and CSF is recommended to maximize diagnostic yield; refer to Paraneoplastic Reflexive Panel (3002929) for serum testing.

New York DOH Approval Status

This test is New York state approved.

Specimen Required

Patient Preparation
Collect

CSF.

Specimen Preparation

Transfer 2 mL CSF to an ARUP standard transport tube. (Min: 1 mL).

Storage/Transport Temperature

Refrigerated

Unacceptable Conditions

Contaminated, heat-inactivated, hemolyzed, or lipemic specimens

Remarks
Stability

Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 month

Methodology

Semi-Quantitative Indirect Fluorescent Antibody (IFA)/Qualitative Immunoblot/Semi-Quantitative Cell-Based Indirect Fluorescent Antibody

Performed

Wed

Reported

1-9 days

Reference Interval

Test Number
 Components
 Reference Interval
  Paraneoplastic Abs (PCCA/ANNA) IgG, CSF None Detected
  Ma2/Ta Antibody, IgG by Immunoblot, CSF Negative
  CV2 Ab IgG CBA-IFA Screen, CSF Less than 1:1
  SOX1 Antibody, IgG by Immunoblot, CSF Negative
  Amphiphysin Antibody, CSF Negative

Interpretive Data

Refer to report 

Compliance Category

Laboratory Developed Test (LDT)

Note

Purkinje Cell (PCCA) antibody and neuronal nuclear (ANNA) antibody IgG are screened by IFA. If the IFA screen is indeterminate, then a Neuronal Nuclear Antibodies (Hu, Ri, Yo, Tr/DNER) IgG by Immunoblot will be added. If the IFA screen is positive at 1:1 or greater, then a PCCA/ANNA antibodies titer and Neuronal Nuclear Antibodies (Hu, Ri, Yo, Tr/DNER) IgG by Immunoblot will be added. Additional charges apply.
If CV2 Antibody IgG Screen by IFA is positive, then CV2 Antibody IgG Titer by IFA will be added. Additional charges apply.

Hotline History

View Hotline History

 

Hotline History

Date of Change
Test Name Change
Methodology
Performance/Reported Schedule
Specimen Requirements
Reference Interval
Interpretive Data
Note
CPT Code
Component Change
Other Interface Change
New Test
Inactive
04/21/2025
X
X
X
02/20/2024
X
X
X
08/21/2023
X
N/A

CPT Codes

86255 x2; 84182 x3; if reflexed, add 84182 x4; 86256 per titer

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Components

Component Test Code* Component Chart Name LOINC
2010842 Paraneoplastic Abs (PCCA/ANNA) IgG, CSF 14247-1
3002259 CV2 Ab IgG CBA-IFA Screen, CSF 53707-6
3002904 SOX1 Antibody, IgG by Immunoblot, CSF 94383-7
3004511 Amphiphysin Antibody, CSF 57750-2
3017504 Ma2/Ta Antibody, IgG by Immunoblot, CSF 107194-3
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.

Aliases

Paraneoplastic Reflexive Panel, CSF