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)