Ordering Recommendation

Use to evaluate for Alzheimer’s disease and other causes of cognitive impairment in adults aged 60 years or older who present with cognitive decline. This is not a standalone test; it should be used as part of a comprehensive diagnostic workup. Refer to the Additional Technical Information document for more information.

New York DOH Approval Status

This test is not New York state approved.

Specimen Required

Patient Preparation
Collect

Plasma (EDTA)

Specimen Preparation

Transfer 1 mL plasma to an ARUP standard transport tube (Min: 0.5 mL). Separate plasma from cells within 2 hours of collection.

Storage/Transport Temperature

Frozen

Unacceptable Conditions

Hemolyzed or icteric specimens

Remarks
Stability

Room Temperature: Unacceptable
Refrigerated: 1 week
Frozen: 2 weeks

Methodology

Qualitative Chemiluminescent Immunoassay (CLIA)

Performed

Varies

Reported

1-8 days

Reference Interval

Test Number
Components
Reference Interval
  pTau 217
Reference Interval
Negative

Interpretive Data

Interpretive Data
Interpretive information: The Phospho-Tau 217, Plasma test is intended for use in patients aged 60 years and older who present with cognitive impairment and who are being evaluated for Alzheimer's disease and other causes of cognitive decline. The test is reported as a qualitative result (positive, negative, or indeterminate). Assay results correlate highly with the presence or absence of amyloid deposition as measured by amyloid PET scan. In a clinical validation set of 524 participants aged 60 years and over who presented with cognitive impairment, a positive result had a sensitivity of 90%, a negative result had a specificity of 90%, and 17% of results were indeterminate.

Limitations: Plasma phospho-Tau 217 must be interpreted in conjunction with other patient clinical information. It is not intended to be used as a screening test or stand-alone diagnostic test and is not intended for therapeutic monitoring.  Results obtained with different assay methods or kits cannot be used interchangeably.


pTau 217 Result Value Interpretation
Negative <0.13 U/mL A test result reported as negative is consistent with absence of amyloid deposition in brain as detected by amyloid PET scan. A negative result reduces the likelihood that a patients cognitive impairment is due to Alzheimer's disease.
Indeterminate >=0.13 to <0.20 U/mL A test result reported as indeterminate indicates that amyloid plaques may or may not be present. Additional diagnostic testing, such as other laboratory testing or amyloid PET scan, should be considered based on clinical presentation. If symptomatology persists or evolves, repeat testing may be helpful.
Positive >=0.20 U/mL A test result reported as positive is consistent with the presence of amyloid deposition in brain as measured by amyloid PET scan. A positive result by itself does not establish a diagnosis of Alzheimer's disease or other cognitive disorder.

Compliance Category

Laboratory Developed Test (LDT)

Note

Hotline History

N/A

CPT Codes

84393

Components

Component Test Code* Component Chart Name LOINC
3019124 pTau 217
* 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

  • Phosphorylated tau 217, Plasma Tau, Human Phospho-Tau Thr217
Phospho-Tau 217, Plasma