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    v1.0.30
    OpenPayerBilling CodesProprietary Laboratory AnalysesCPT cpt-0431u-glycine-receptor-alpha1-igg-testing
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    CPT 0431U: Glycine Receptor Alpha1 IgG Assay

    CPT code 0431U is a Proprietary Laboratory Analyses (PLA) test for Glycine Receptor Alpha1 IgG, a biomarker for the autoimmune stiff‑person spectrum of disorders; the assay uses a live‑cell binding method to detect IgG antibodies to the glycine receptor alpha‑1 subunit in cerebrospinal fluid (CSF) or serum, and is performed as a diagnostic laboratory test typically provided in a clinical laboratory or reference laboratory setting (Mayo Clinic/Mayo Clinic Laboratories).

    For related coverage guidance, see recent payer policy updates: Oral Cancer Screening and Testing, RTM Testing for Alpha-1 Antitrypsin Deficiency, Cytochrome P450 Genotype-Guided Treatment Strategy Corporate Medical Policy.

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    Clinical & Coding Specifications

    Clinical Context

    A patient in their 30s–60s presents to a neurology clinic with progressive axial stiffness, painful spasms, exaggerated startle response, and intermittent autonomic symptoms such as anxiety or respiratory difficulty. The neurologist performs a focused neurologic examination and documents concern for an autoimmune stiff‑person spectrum disorder (including progressive encephalomyelitis with rigidity and myoclonus or classic stiff‑person syndrome). A serum sample is ordered; cerebrospinal fluid (CSF) may be submitted when lumbar puncture is clinically indicated. The clinician orders the specialized antibody test reported with 0431U — Glycine Receptor Alpha1 IgG (Mayo Clinic Laboratories) — to identify IgG autoantibodies targeting the glycine receptor alpha‑1 subunit using a live‑cell binding assay.

    Specimen collection: peripheral venous blood in appropriate serum tube; if CSF is being tested, sterile collection and prompt transport to the reference lab. The sample is sent to Mayo Clinic/Mayo Clinic Laboratories with test 0431U ordered and relevant clinical history (stiffness, spasms, startle, suspected autoimmune neurologic disorder) provided. Typical site of service is an outpatient neurology clinic or hospital inpatient unit when evaluation is inpatient; testing is performed by the reference laboratory (off‑site). Results inform diagnosis of glycine receptor–associated autoimmune stiff‑person spectrum disorders and guide immunotherapy decision making and further neurologic workup.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    0431UGlycine Receptor Alpha1 IgG, Mayo Clinic Laboratories (Proprietary Laboratory Analyses)Primary PLA code for the live‑cell binding assay detecting IgG to glycine receptor alpha‑1 in serum or CSF.

    86038 | Antibody; immunoassay for infectious agents, quantitative or semi‑quantitative, each agent | May be performed in other labs as different immunoassay methodologies; not specific to this PLA but conceptually related lab technique.

    86355 | Assay of immunoglobulins or complement (e.g., autoantibodies) by non‑automated method | Related immunologic testing for autoimmune neurology panels; often ordered alongside specific antibody assays.

    99213 | Office or other outpatient visit for the evaluation and management of an established patient, typically 15 minutes | Represents a typical neurology outpatient visit during which the clinician documents suspicion for autoimmune stiff‑person disorder and orders 0431U.

    62270 | Spinal puncture, diagnostic (lumbar puncture) | If CSF is required for testing, lumbar puncture is performed prior to sending CSF for 0431U.

    Related Modifiers

    5 rows

    ModifierDescriptionWhen to Use
    26Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
    59Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    90Modifier ‑90 (Reference/Outside Laboratory) indicates that a laboratory test was performed by an entity other than the treating or reporting provider. The American Medical Association defines…- Use CPT modifier -90 when a laboratory test is performed by an outside/reference laboratory (an entity other than the treating or reporting physician or qualified professional) and the claim needs…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    207RG0100X
    208000000X
    363A00000X
    261QM2800X
    2278E1000X
    252Y00000X
    207ZI0100X
    246XC2901X

    Related Payer Policy Updates

    Specialty: Genetic & Molecular Testing1 / 3

    10 rows

    PolicyPayerEffective Date
    Oral Cancer Screening and TestingOscar Health2027-01-01
    RTM Testing for Alpha-1 Antitrypsin DeficiencyOscar Health2027-01-01
    Cytochrome P450 Genotype-Guided Treatment Strategy Corporate Medical Policybcbsvermont2027-01-01
    Carrier Testing Panels for Genetic Diseases (for Kentucky Only)UnitedHealthcare2026-10-01
    Genetic Testing for Neurological Disorders (for Kansas Only)UnitedHealthcare2026-10-01
    Cell-Free Fetal DNA Testing (for Idaho Only)UnitedHealthcare2026-10-01
    Genetic and Molecular TestingProvidence Health Plan2026-10-01
    Next Generation Sequencing for Minimal Residual Disease DetectionProvidence Health Plan2026-10-01
    Pharmacogenetic Panel Testing (for Kansas Only)UnitedHealthcare2026-10-01
    Pharmacogenetic Panel TestingColorado Rocky Mountain Health Plans2026-10-01

    Related Codes

    CPT-0001U-PRECISETYPE-HEA-MULTIPLEX-RBC-ANTIGEN-GENOTYPING

    CPT 0001U: PreciseType HEA Erythrocyte Antigen Genotyping

    CPT-0002U-POLYPDX-URINE-METABOLOMIC-ASSAY-ADENOMATOUS-POLYP-RISK

    CPT 0002U: PolypDX™ Urine Metabolomic Risk Assay

    CPT-0003U-OVAR-A-NEXT-GENERATION-OVARIAN-CANCER-RISK-ASSAY

    CPT 0003U: Overa (MIA2G) Ovarian Cancer Risk Assay

    CPT-0005U-PROSTATE-EXOSOMEDX-INTELLISCORE-GENE-EXPRESSION-URINE-TEST

    CPT 0005U: ExosomeDx Prostate (IntelliScore) urine gene expression test

    CPT-0007U-TOXPROTECT-URINE-DRUG-SCREEN-WITH-DNA-AUTHENTICATION

    CPT 0007U: ToxProtect Urine Drug Screen With DNA Authentication

    CPT-0008U-H-PYLORI-ANTIBIOTIC-RESISTANCE-SEQUENCING-PANEL

    CPT 0008U: H. pylori Antibiotic Resistance Gene Panel

    CPT-0009U-DEPARRAY-HER2-FISH-TUMOR-CELL-ISOLATION

    CPT 0009U: DEPArray HER2 Tumor‑Cell Isolation with FISH Analysis

    CPT-0010U-BACTERIAL-TYPING-WHOLE-GENOME-SEQUENCING-MAYO-CLINIC

    CPT 0010U: Bacterial Typing by Whole Genome Sequencing, Mayo Clinic

    CPT-0011U-CORDANT-CORE-ALGORITHMIC-ORAL-FLUID-DRUG-TEST

    CPT 0011U: Oral Fluid Drug Test with Algorithmic Steady‑State Comparison

    CPT-0016U-BCR-ABL1-MAJOR-MINOR-FUSION-TRANSCRIPT-TESTING

    CPT 0016U: BCR–ABL1 Major and Minor Breakpoint Fusion Transcripts

    Showing 1–10 of 536

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    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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