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Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)

CPT4 code

Name of the Procedure:

Cryoglobulin Test (Cryocrit)

Summary

A Cryoglobulin test is a lab procedure used to detect abnormal proteins in the blood that may clump together when exposed to cold temperatures. These proteins are called cryoglobulins.

Purpose

The test helps to diagnose conditions related to abnormal protein production in the blood, such as certain types of vasculitis, chronic infections, or autoimmune diseases.

Indications

  • Symptoms like muscle pain, joint pain, fatigue, and skin lesions.
  • Conditions like Hepatitis C, multiple myeloma, and lupus.
  • Patients presenting unexplained changes in blood flow, such as Raynaud's phenomenon.

Preparation

  • Fasting is generally not required.
  • Patients should inform their healthcare provider about any medications they are taking.
  • A standard blood draw is performed, and the sample must be kept at body temperature until processed.

Procedure Description

  1. Blood Draw:
    • A healthcare provider will extract a blood sample, making sure to maintain the blood at body temperature.
  2. Transport:
    • The sample is promptly transported to the lab in a pre-warmed container.
  3. Lab Analysis:
    • In the lab, the blood sample is cooled to determine if cryoglobulins precipitate (solidify) out of the plasma.
    • The amount of precipitate is measured qualitatively or semi-quantitatively to assess the level of cryoglobulins.

Duration

Approximately 5-10 minutes for the blood draw; lab analysis time may vary.

Setting

Performed in a laboratory following a blood draw at a clinic or hospital.

Personnel

Phlebotomist or nurse for the blood draw; laboratory technicians or technologists for the analysis.

Risks and Complications

  • Slight risk of infection or bruising at the needle insertion site.
  • Rarely, patients might experience dizziness or fainting during the blood draw.

Benefits

This test can identify underlying causes of certain medical conditions, guiding more targeted treatment.

Recovery

  • No recovery time is generally needed.
  • Patients can return to normal activities immediately after the blood draw.

Alternatives

Other tests like serum protein electrophoresis or immunofixation electrophoresis may be used to detect abnormalities in protein levels.

Patient Experience

  • Patients may feel a prick or mild discomfort during the blood draw.
  • Immediate discomfort subsides quickly, and ongoing pain is rare.
  • The entire process is minimally invasive with no need for major pain management.

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