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SensoriMotor Neuropathy Profile with Recombx

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms
Cerner Primary Mnemonic	SensoriMotor Neuropathy Profile w/ recombx
EPIC Display Name	SensoriMotor Neuropathy Profile with Recombx
Allscripts (AEHR) Order Name	SensoriMotor Neuropathy Profile w/ Recombx
Sunrise Clinical Manager (SCM) Order Name	SensoriMotor Neuropathy Profile with Recombx Co
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	SensoriMotor
Clinical Info	SensoriMotor Neuropathy Profile with Recombx®-Complete - Anti-MAG, anti-SGPG, anti-GM1, anti-GD1a, anti-GD1b, anti-asialo GM1, anti-sulfatide, anti-Hu, and IgM GALOP antibodies are found in patients with a peripheral neuropathy and mixed sensory and motor symptoms. This semi-quantitative assay may be useful in monitoring therapeutic responses in select cases.
Specimen Type
Container	Red Top Tube
Collection Instructions	Container/Tube: Gold Top tube Specimen: 2 mL serum (0.5 mL min) Transport Temperature: Refrigerated Stability: 72 hours Room temperature 21 days Refrigerated 28 days Frozen
Transport Instructions	Refrigerated
Specimen Stability	72 hours Room temperature 21 days Refrigerated 28 days Frozen
Methodology	Automated Nanoliter Scale Immunoassay • Enzyme Linked Immunosorbent Assay (ELISA) • Western Blot (WB) Includes Co-GM1 Autoantibody Test Co-Asialo-GM1 Autoantibody Test Co-GD1b Autoantibody Test GD1a Autoantibody Test GALOP Autoantibody Test SGPG Autoantibody Test MAG Autoantibody Test Recombx® Hu Autoantibody Test Sulfatide Autoantibody Test
Days Performed	Test is set up twice a week, Monday and Wednesday. 10 day TAT
Performing Laboratory	Quest Diagnostics' Nichols Institute, Inc. - Chantilly
CPT	83520
PDM	1959266

Desired Epic Build SensoriMotor Neuropathy Profile with Recombx

Cerner Primary Mnemonic:

SensoriMotor Neuropathy Profile w/ recombx

PDM

1959266

Informatics - Workgroup

Immunology

Synonyms *

Display Name *

SensoriMotor Neuropathy Profile with Recombx

Order Entry Specimen Sources *

Order Entry Specimen Types

Blood

Specimen Navigator Specimen Types

Specimen Navigator Specimen Sources

Specimen Navigator Short Name

Ordering info (EPIC SmartText)

SensoriMotor Neuropathy Profile with Recombx®-Complete - Anti-MAG, anti-SGPG, anti-GM1, anti-GD1a, anti-GD1b, anti-asialo GM1, anti-sulfatide, anti-Hu, and IgM GALOP antibodies are found in patients with a peripheral neuropathy and mixed sensory and motor symptoms. This semi-quantitative assay may be useful in monitoring therapeutic responses in select cases.

IP Orderable

Yes

OP Orderable

Yes

AOEs *

AP AOEs

Special History

Build Comments

Filter *

Procedure Category Change

Cerner Results

Result Desc	Result display	Result PDM
SensoriMotor	SensoriMotor	1959266A

Current Actual EPIC Build as of 10/28/2024

Procedure Id

114296

Pdm

1959266

Order Display Name

SensoriMotor Neuropathy Profile with Recombx

Procedure Name

SENSORIMOTOR NEUROPATHY PROFILE WITH RECOMBX CO

Procedure Master Number

LAB10899

Short Procedure Name

SENSORIMOTOR NEUROPATHY PROFILE WITH RECOMBX CO

Category Code

1.0

Category Code Record Name

LAB BLOOD ORDERABLES

Synonyms

Clinically Active

Yes

Orderable

Yes

Performable

Yes

Filter Genomics

Reference Link Url

https://labs.northwell.edu/epic/test/114296

Ordering Instructions

Default Specimen Type

Blood

Specimen Type Pick List

Blood

Specimen Type List

Op Specimen Type List

Specimen Source Pick List

Blood, Arterial Blood, Capillary Blood, Central Line Blood, Venous

Specimen Source Default - Male

Blood, Venous

Specimen Source Default - Female

Blood, Venous

Specimen Source List

Op Specimen Source List

Ip Lab Test Components For Report

Op Lab Test Components For Report

Order Questions

["3045300170", "3045300171", "3045300173"]

Order Questions Record Name

NH IP HOME COLLECT DATE NH IP HOME COLLECT DAYS NH IP HOME COLLECT MEDICALLY NECESSARY

Inpatient Order Questions

[]

Inpatient Order Questions Record Name

Order Specific Question Override

Yes

Inpatient Question Override

Location Restrict List Ip

Location Restrict List Ip Record Name

Location Restrict List Include Ip

Location Restrict List Op

Location Restrict List Op Record Name

Location Restrict List Includes Op

Edp Amb Order Specific Questions Record Name

Edp Ip Order Specific Questions Record Name

Edp Ip Specimen Source

Blood, Venous Blood, Central Line Blood, Arterial Blood, Capillary

Edp Op Specimen Source

Edp Ip Specimen Type

Blood

Edp Op Specimen Type

Derived Edp Ip Buttons S

Blood, Central Line Blood, Venous Blood, Capillary Blood, Arterial

Derived Edp Ip Buttons T

Blood

Derived Edp Op Buttons S

Derived Edp Op Buttons T

Ip Orderable

Op Orderable

EPIC OP AOEs

Question ID	Question Name	Question	Response Type	Response List	Require Response
3045300170	NH IP HOME COLLECT DATE	Start Date	Date		Yes
3045300171	NH IP HOME COLLECT DAYS	Days	Custom List	Monday Tuesday Wednesday Thursday Friday Saturday Sunday	Yes
3045300173	NH IP HOME COLLECT MEDICALLY NECESSARY	Medically Necessary?	Yes/No		Yes

EPIC IP AOEs

EPIC Components (results)

Component ID	Component Name	Base Name	Common Name	External Name	Cerner Result PDM
3047804690	SENSORIMOTOR NEUROPATHY PROFILE W/ RECOM	SENNEUPROF	SENSORIMOTOR NEUROPATHY PROFILE W RECOM		1959266A

EPIC Test Compendium Alpha Welcome to the new Northwell Health Labs Test Directory, please call our Client Services Department at 1-800-472-5757 with any typos, corrections or issues.

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SensoriMotor Neuropathy Profile with Recombx

Test Catalog Information

Desired Epic Build SensoriMotor Neuropathy Profile with Recombx

Current Actual EPIC Build as of 10/28/2024

EPIC Test Compendium Alpha
Welcome to the new Northwell Health Labs Test Directory, please call our Client Services Department at 1-800-472-5757 with any typos, corrections or issues.