Posted Date
Effective Date
Update Type Miscellaneous
CPT Code 86255 x26, 86341, 0432U, 83516
Order Code ENC2

TEST PANEL UPDATE

 

Encephalopathy, Autoimmune Evaluation, CSF

Order Code:                  ENC2

Fee Code:                     AA271, AA270 (CPT 86255 x23, 86341)

New CPT Codes:          86255 x26, 86341, 0432U, 83516                                   

Reference Laboratory:   Mayo ENC2

 

The following changes will be made to the Encephalopathy Autoimmune Evaluation, CSF, assay performed by Mayo Clinic Laboratories effective October 13, 2026:

 

The following tests will be added to the panel:

  • Adenylate Kinase 5 (AK5) IgG, Tissue Immunofluorescence, Spinal Fluid (AK5IC)
  • Metabotropic Glutamate Receptor-5 (mGluR5) IgG, Tissue Immunofluorescence, Spinal Fluid (GL5IC)
  • Kelch-Like Protein 11 Antibody, Cell Binding Assay, Spinal Fluid (KLHCC)
  • Gamma-Amino Butyric Acid Type A (GABA-A) Receptor Antibody, Cell-Binding Assay, Spinal Fluid (GBACC)
  • Ma2 Antibody, ELISA, Spinal Fluid (MA2EC)

 

The following tests will be added to the reflex algorithm:

  • Adenylate Kinase 5 (AK5) IgG, Cell Based Assay, Spinal Fluid (AK5CC) 
  • Adenylate Kinase 5 (AK5) IgG, Tissue Immunofluorescence Titer, Spinal Fluid (AK5TC)
  • Metabotropic Glutamate Receptor-5 (mGluR5) IgG, Cell Based Assay, Spinal Fluid (GL5CC)
  • Metabotropic Glutamate Receptor-5 (mGluR5) IgG, Tissue Immunofluorescence Titer, Spinal Fluid (GL5TC)
  • Kelch-Like Protein 11 Antibody, Immunofluorescence Titer Assay, Spinal Fluid (K11TC)
  • Microtubule-Associated Protein 1B (MAP1B) Antibody, Immunoblot, Spinal Fluid (MP1BC)