Neopterin in Cerebrospinal Fluid
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).
["Neopterin levels can help assess immune responses in the central nervous system."]
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
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?
How long does it take to get results?
Can I eat or drink before this test?
Sources
- 1
- 2Lab Tests OnlineSource
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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