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Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each
CPT4 code
Name of the Procedure:
Protein; Western Blot
Summary
The Western Blot is a laboratory technique used to detect specific proteins in a sample of blood or other body fluid. It involves separating proteins by gel electrophoresis, transferring them to a membrane, and using immunological probes to identify the presence of specific protein bands.
Purpose
The procedure is primarily used to:
- Diagnose infections or diseases by identifying specific proteins (e.g., HIV, Lyme disease).
- Measure levels of specific proteins that may be involved in various conditions.
- Confirm the presence of antibodies against specific antigens.
Indications
- Symptoms suggestive of viral or bacterial infections.
- Autoimmune disorders.
- Neurological symptoms indicative of degenerative diseases.
- Monitor treatment effectiveness or disease progression.
Preparation
- No specific preparation such as fasting is generally needed.
- Inform the healthcare provider about any medications or medical conditions.
- Blood or body fluid samples will be collected for testing.
Procedure Description
- A sample of blood or other body fluid is collected.
- Proteins in the sample are separated through gel electrophoresis based on size.
- Separated proteins are transferred to a membrane (blotting).
- The membrane is incubated with antibodies specific to the target protein.
- Detection of the protein-antibody complex is visualized, often using chemiluminescence.
Duration
The entire process can take several hours to a day, but sample preparation and analysis are done in stages.
Setting
- Laboratory specialized in performing Western Blot analysis.
Personnel
- Laboratory technicians and/or medical technologists.
- Pathologists may interpret the results.
Risks and Complications
- Minimal risks associated with blood sample collection (e.g., bruising, infection).
- Rare procedural errors can lead to inaccurate results.
Benefits
- Accurate identification of specific proteins related to various conditions.
- Confirmation of diagnoses to guide appropriate treatment.
- Quantitative measurement of protein levels.
Recovery
- No recovery time needed for the procedure itself.
- Follow-up based on the test results as advised by the healthcare provider.
Alternatives
- Enzyme-linked immunosorbent assay (ELISA).
- Immunoprecipitation.
Mass spectrometry.
Pros and cons might include differences in sensitivity, specificity, and the types of proteins detectable.
Patient Experience
- Minimal discomfort from blood or fluid sample collection.
- Typically no pain or discomfort from the laboratory analysis itself.
- Results interpretation and further management will be discussed with the healthcare provider.