Test Code ADEVL Alzheimer Disease Evaluation, Spinal Fluid
Additional Codes
| Epic Ordering Code | LAB305382 |
| NBS code | LBC13127 |
| Service code | 37217 |
Reporting Name
Alzheimer's Disease Evaluation, CSFSpecimen Type
CSFSpecimen Required
Supplies:
Alzheimer's Disease Evaluation (ADEVL) Collection Kit (T836)
CSF AD Biomarker Tubes (T833; also included in T836)
Container/Tube:
Preferred: Sarstedt CSF False Bottom Tube 63.614.625 (2.5 mL)
Acceptable: Sarstedt 72.703.600 (1.5 mL) or Sarstedt 72.694.600 (2 mL)
Specimen Volume: 1.5 to 2.5 mL
Collection Instructions:
1. Perform lumbar puncture and discard the first 1 to 2 mL of cerebrospinal fluid (CSF).
2. Collect CSF directly into one of the listed collection tubes until the tube is at least 50% full.*
3. Send CSF specimen in original collection tube. Do not aliquot.
Note: Polystyrene collection tubes are not acceptable. Exposure of CSF to polystyrene tubes may result in falsely low Abeta42 concentrations. For more information see Cautions.
*The Alzheimer's Association consensus protocol for handling of CSF for clinical measurements of Abeta42 and tau recommends using the drip method for CSF collection and directly collecting into a low-bind polypropylene tube. Although some clinicians prefer the syringe pull method due to speed of collection, the drip method reduces the risk of Abeta42 binding to the plastic of any syringe used.
4. Collection instructions can also be found on Spinal Fluid Specimen Collection Instructions for Alzheimer Disease Evaluation (T967).
NUH Outreach Laboratories:
Specimen Requirements
Submit the following:
Container: Mayo Alzheimer Collection Tube
Processing Requirements
Do not aliquot.
Specimen type: CSF
Volume: 1.5 to 2.5 mL (at least 50% full)
Storage/transport requirements: Refrigerated
Forms
If not ordering electronically, complete, print, and send a Neurology Specialty Testing Client Test Request (T732) with the specimen.
Special Instructions
Specimen Minimum Volume
See Specimen Required
Specimen Stability Information
| Specimen Type | Temperature | Time | Special Container |
|---|---|---|---|
| CSF | Refrigerated (preferred) | 14 days | BlueTop SARSTEDT |
| Frozen | 60 days | BlueTop SARSTEDT | |
| Ambient | 12 hours | BlueTop SARSTEDT |
Reject Due To
| Gross hemolysis | Reject |
| Gross lipemia | OK |
| Gross icterus | Reject |
Method Name
Electrochemiluminescent Immunoassay (ECLIA)
Day(s) Performed
Tuesday, Thursday, Friday
Report Available
1 to 4 daysPlease note that this is a referral test requiring transport to the external testing facility and an additional 3-5 days is required.
Reference Values
Beta-amyloid (1-42) (Abeta42): >834 pg/mL
Total-Tau: ≤238 pg/mL
Phosphorylated-Tau 181: ≤21.6 pg/mL
p-Tau/Abeta42: ≤0.028
Performing Laboratory
Mayo Clinic Laboratories in Rochester
Useful For
Assessment of adults with cognitive impairment being evaluated for Alzheimer disease and other causes of cognitive impairment
These assays should not be used to predict the development of dementia or other neurologic conditions or to monitor response to therapies.
CPT Code Information
AB42P-82234
PTAUP-84393
TTAUP-84394
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| ADEVL | Alzheimer's Disease Evaluation, CSF | 104134-2 |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| PTABR | p-Tau/Abeta42 | 41027-4 |
| ADINT | AD Interpretation | 69048-7 |
| AB42P | Abeta42 | 33203-1 |
| TTAUP | Total-Tau | 30160-6 |
| PTAUP | Phospho-Tau(181P) | 72260-3 |
Secondary ID
607273Test Classification
This test has been modified from the manufacturer's instructions. Its performance characteristics were determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the US Food and Drug Administration.Last updated 23/06/2026