Test Catalog

Test

Code
F777
Name
MYELIN OLIGODENDROCYTE GLYCOPROTEIN (MOG) AB, IGG BY IFA WITH REFLEX TO TITER, SERUM
Description
Also known as: F777, MOG Ab, IgG by IFA with Reflex to Titer, MOG Ab, IgG by IFA
Orderable Code: F777
Test Contains (LOINC): MOG Ab, IgG Screen (91545-4)
Sample Type: Serum
Preferred Container: Serum Separator Tube (SST)
Sample Volume: 1.0 mL
Minimal Sample Volume: 0.15 mL
Handling Instructions
Transfer 1 mL serum to a Standard Transport Tube. (Min: 0.15 mL)
Client Transport Temperature: Refrigerated
Specimen Stability: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 month
Unsuitable Specimen: Hemolyzed, contaminated, or severely lipemic specimens.
Frequency: Monday, Wednesday, Friday
Expected Turn Around: 2 – 7 Days
Responsible Dept: Reference Lab
Referral Lab: ARUP
Referral Lab Code: 3001277
CPT: 86362, if reflexed additional CPT Code, 86256
Methodology: Semi-Quantitative Cell-based Indirect Fluorescent Antibody
Reflex Criteria: If Myelin Oligodendrocyte Glycoprotein (MOG) Antibody, IgG by IFA with Reflex to Titer, Serum is positive, then a Myelin Oligodendrocyte Glycoprotein (MOG) Antibody Titer, IgG is performed. Additional charges apply.
Compliance Statement: For laboratory tests using a manufactured RUO kit. This test was developed and its performance characteristics determined by ARUP Laboratories. The U. S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions.
Notes: Aid in diagnosis of CNS demyelinating disease or autoimmune encephalitis. The presence of myelin oligodendrocyte glycoprotein (MOG) antibody may be associated with neuromyelitis optica spectrum disorders including optic neuritis and transverse myelitis, brainstem encephalitis and acute disseminated encephalomyelitis. May be used in monitoring antibody persistence or treatment response in individuals who are antibody positive.
Billing Status: Pre-Pay/Client Billed Only