Posted Date
Effective Date
Update Type
Miscellaneous
CPT Code
86255 x24, 86341, 0432U, 83516
Order Code
ENS2
TEST PANEL UPDATE
Encephalopathy, Autoimmune Evaluation, Serum
Order Code: ENS2
Fee Code: AA268, AA267 (CPT 86255 x23, 86341)
New CPT Codes: 86255 x24, 86341, 0432U, 83516
Reference Laboratory: Mayo ENS2
The following changes will be made to the Encephalopathy Autoimmune Evaluation, Serum, 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, Serum (AK5IS)
- Metabotropic Glutamate Receptor-5 (mGluR5) IgG, Tissue Immunofluorescence, Serum (GL5IS)
- Kelch-Like Protein 11 Antibody, Cell Binding Assay, Serum (KLHCS)
- Gamma-Amino Butyric Acid Type A (GABA-A) Receptor Antibody, Cell-Binding Assay, Serum (GBACS)
- Ma2 Antibody, ELISA, Serum (MA2ES)
The following tests will be removed from the panel:
- Glial Fibrillary Acidic Protein Alpha Subunit Antibody, Immunofluorescence, Serum (GFAIS)
- Neuronal Intermediate Filament IgG, Immunofluorescence, Serum (NIFIS)
The following tests will be added to the reflex algorithm:
- Adenylate Kinase 5 (AK5) IgG, Cell Based Assay, Serum (AK5CS)
- Adenylate Kinase 5 (AK5) IgG, Tissue Immunofluorescence Titer, Serum (AK5TS)
- Metabotropic Glutamate Receptor-5 (mGluR5) IgG, Cell Based Assay, Serum (GL5CS)
- Metabotropic Glutamate Receptor-5 (mGluR5) IgG, Tissue Immunofluorescence Titer, Serum (GL5TS)
- Kelch-Like Protein 11 Antibody, Immunofluorescence Titer Assay, Serum (K11TS)
- Microtubule-Associated Protein 1B (MAP1B) Antibody, Immunoblot, Serum (MP1BS)
The following tests will be removed from the reflex algorithm:
- Alpha Internexin, Cell Binding Assay, Serum (AINCS)
- Glial Fibrillary Acidic Protein Alpha Subunit Antibody, Cell Binding Assay, Serum (GFACS)
- Glial Fibrillary Acidic Protein Alpha Subunit Antibody, Immunofluorescence Titer Assay, Serum (GFATS)
- Neuronal Intermediate Filament Heavy Chain, Cell Binding Assay, Serum (NFHCS)
- Neuronal Intermediate Filament Light Chain, Cell Binding Assay, Serum (NFLCS)
- Neuronal Intermediate Filament IgG, Immunofluorescence Titer Assay, Serum (NIFTS)