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Neopterin in Cerebrospinal Fluid

Published: August 9, 2026Updated: August 16, 2026

This test measures the level of neopterin, a chemical produced by the body when immune cells are activated, specifically in cerebrospinal fluid (the fluid surrounding the brain and spinal cord).

Quick summary

["Neopterin levels can help assess immune responses in the central nervous system."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
34146-1
Short code
Neopterin CSF-sCnc
Synonyms
Neopterin CSF-sCnc
Category
coagulation
Sample
csf
Container
Sterile tube
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85610
SNOMED
396252006
Specimen volume
1-2 mL
Stability
Immediate analysis required, Refrigerated: 1h
Hemolysis max
200
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Your healthcare provider may order this test if you have symptoms like headaches, confusion, or neurological issues that could suggest an immune response in your brain or spinal cord. It’s often used alongside other tests to investigate conditions such as infections, inflammation, or autoimmune diseases affecting the nervous system.

What Does an Abnormal Result Mean?

Elevated neopterin in CSF may indicate an active immune response, such as in viral infections, certain autoimmune disorders, or conditions like multiple sclerosis. However, results alone aren’t diagnostic—they’re part of a broader evaluation.

How Is the Test Performed?

A small amount of cerebrospinal fluid is collected through a procedure called a lumbar puncture (spinal tap). The fluid is then sent to the lab for testing. The test itself doesn’t require fasting or special preparation beyond following your provider’s instructions.

What Are Common Conditions Monitored?

This test is commonly used to monitor immune-related conditions in the nervous system, including infections (like meningitis), inflammatory diseases, or conditions where immune cells may be overactive in the brain or spinal cord.

Reference range

INR: 0.8-1.2 (warfarin: 2.0-3.0)N/A

Specimen: csf

Inform your healthcare provider if you are taking blood thinners. No special preparation required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Neopterin CSF

Frequently asked questions

What does a high neopterin level in CSF mean?
A high level may suggest an immune response, such as an infection, inflammation, or an autoimmune condition affecting the brain or spinal cord. Your provider will discuss results in the context of your symptoms and other tests.
How long does it take to get results?
Results are typically available within 1–3 business days, depending on lab processing times. Your provider will contact you with the final report.
Can I eat or drink before this test?
No special diet is required for this test. Follow any specific instructions your provider gives you, such as avoiding certain medications or activities, but no fasting is needed.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy