Tick Panel with Lyme
Order Name
Tick Pnl Lyme
Test Number: 6906283
Revision Date 04/29/2024
Test Number: 6906283
Revision Date 04/29/2024
| Test Name | Methodology | LOINC Code |
|---|---|---|
|
Ehrlichia chaffeensis Antibody, IgM, IgG
|
Immunofluorescence Assay (IFA) | |
|
Tularemia Antibody IgG/IgM
|
Non-viable bacterial cell agglutination assay | 23125-8 |
|
Rocky Mountain Spotted Fever (RMSF) IgG, IgM
|
Immunofluorescence Assay (IFA) | |
|
Lyme Antibody IgG and IgM
|
Chemiluminescence Assay |
| SPECIMEN REQUIREMENTS | ||||
|---|---|---|---|---|
| Specimen | Specimen Volume (min) | Specimen Type | Specimen Container | Transport Environment |
| Preferred | 4 mL | Serum | Clot Activator SST | Refrigerated or Frozen |
| Instructions | Allow 15-30 minutes for specimen to clot, then Separate serum or plasma from cells ASAP or within 2 hours of collection. Specimen Stability: Room Temperature: Unacceptable, Refrigerated: 2 Weeks, Frozen 30 Days |
|||
| GENERAL INFORMATION | |
|---|---|
| Testing Schedule | Assay Dependant |
| Expected TAT | 3-5 Days |
| Clinical Use | E. chaffeensis - A tick-borne disease common to the OK/ARK/MO/KS area. Peak titers will occur at 6 weeks after onset. Only 22% will be positive after 1 week, 68% after 2 weeks and 100% after 4 weeks. Rocky Mountain Spotted Fever - To assist in the diagnosis of RMSF. Patients may not seroconvert until 10 days after onset of illness. Tularemia Antibody - Diagnosis of exposure to Francisella tularensis. Lyme Antibody - All positives or borderline results are confirmed with western blot. Serology may not be positive until 2-4 weeks after onset of erythema migrans. |
| Notes | If the Lyme Antibody Interpretation is either Equivocal or Positive a Lyme Disease(Borrelia burgdorferi IgG,IgM) Western Blot will be performed for confirmation at an additional cost. Order Code: [5586925] Lyme IgG, IgM Abs by Western Blot Result Code: [5581350] Lyme IgG by WB, LOINC: 6320-6 Result Code: [5581400] Lyme IgM by WB, LOINC: 6321-4 |
| CPT Code(s) | 86666x2, 86668x2, 86757x2, 86618 (add 86617x2 if Reflex for Lyme Western Blot) |
| Lab Section | Immunology - Serology |