Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Test Name: Sunquest Test Code Epic Procedure Code Or ID CPT Code:  

PROTEIN, CSF

ORDERING INFORMATION:
Sunquest Test Code:
PROCSF      Geisinger Epic Procedure Code: 84157         Geisinger Epic ID: 21931

SPECIMEN COLLECTION
Specimen type:
Cerebrospinal fluid
Preferred collection container:
Specimen required:
1 mL CSF; minimum 0.2 mL.
Special notes:
Deliver immediately to Chemistry Laboratory.

SPECIMEN PROCESSING
Transport temperature:
Refrigerated.
Specimen stability:
Room temperature: 1 day. Refrigerated: 6 days. Frozen: 1 year.
Rejection criteria:
Stability limits exceeded.

TEST DETAILS
Reference interval:
Premature baby: 15-130 mg/dL
Full Term Newborn: 40-120 mg/dL
<= 1 month: 20-80 mg/dL
> 1 month: 15-45 mg/dL
CPT code(s):
84157
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.  The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.
Test includes:
CSF protein.
Methodology:
Turbidimetric
Spectrophotometric (Colorimetric)
Synonyms:
Spinal fluid total protein
Clinical significance:
The CSF normally contains less than 1% of the amount of protien present in plasma. Clinical disorders associated with increased CSF protein include traumatic spinal tap, increased blood-CSF permeability due to meningitis or hemorrhage, endocrine/metabolic disorders, drug toxicity, and CSF circulation disorders. Clinical disorders associated with decreased CSF total protein include CSF leakage from dural tear, increased intracranial pressure, removal of CSF, hyperthyroidism, and leukemia. Young children (6 months to 2 years)also have decreased CSF total protein.
Doctoral Director(s:)
Hoi-Ying Elsie Yu, PhD, DABCC
Sheng-Ying (Margaret) Lo, PhD, DABCC    
Review Date: 11/05/2018

Performing Locations

Geisinger Medical Center

Performing laboratory: Automated Chemistry
Technical Lead: Mariana Moyer, Jared Shepherd
Frequency: Daily, Monday - Sunday
Performed stat? Yes

Geisinger Wyoming Valley Medical Center

Performing laboratory: ATL+
Technical Lead: Sarah McGowan    
Frequency: Daily, all shifts    
Performed stat? Yes

Geisinger Shamokin Area Community Hospital

Performing laboratory: Chemistry
Technical Lead: Kelly Alleman    
Frequency: Daily, all shifts    
Performed stat? Yes

Geisinger Bloomsburg Hospital

Performing laboratory: Chemistry
Technical Lead: Robyn Stokes  
Frequency: Daily    
Performed stat? Yes

Geisinger Community Medical Center

Performing laboratory: Chemistry
Technical Lead: Ann Mack, Deborah Dempsey  
Frequency: Daily, all shifts    
Performed stat? Yes

Geisinger Lewistown Hospital

Performing laboratory: Chemistry
Technical Lead: Melissa Forsythe  
Frequency: All shifts    
Performed stat?

Geisinger Holy Spirit Hospital

Performing laboratory: ATL+
Technical specialist: Hadeel Naghnaghieh    
Frequency: Daily, all shifts    
Performed stat? Yes

Geisinger Jersey Shore Hospital

Performing laboratory: Chemistry
Technical specialist: Brenda Shuman-Johnson    
Frequency: Daily, all shifts    
Performed stat? Yes

Geisinger South Wilkes-Barre

Technical specialist: Bernadette Johnson    
Frequency: Daily, all shifts    
Performed stat? Yes
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*GMC - Geisinger Medical Center; GWV - Geisinger Wyoming Valley Medical Center; GSACH - Geisinger Shamokin Area Community Hospital; GBH - Geisinger Bloomsburg Hospital;
GCMC - Geisinger Community Medical Center (Scranton); GLH - Geisinger Lewistown Hospital; GHS - Geisinger Holy Spirit; GJSH - Geisinger Jersey Shore Hospital,
GSWB - Geisinger South Wilkes-Barre