Bartonella Species AB (IgG,IgM) w/ Reflex to Titer [34251X]

Test Code
CATAB

CPT Codes
86611 (x4)

Includes
Bartonella henselae (IgG, IgM), Bartonella quintana (IgG, IgM)

If Bartonella henselae and Bartonella quintana IgG and IgM screens are positive, titers will be performed at an additional charge (CPT code(s): 86611 for each titer performed).

Preferred Specimen
1 mL serum

Minimum Volume
0.2 mL

Transport Container
Plastic screw-cap vial

Transport Temperature
Refrigerated (cold packs)

Specimen Stability
Room temperature: 4 days
Refrigerated: 5 days
Frozen: 30 days

Methodology
Immunofluorescence Assay (IFA)

This test was developed and its performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of the test.

Limitations
B. quintana and B. henselae as well as chlamydia species and Coxiella burnetii may cross-react and produce false-positive results.

Reference Range

B. henselae IgG Screen	Negative
B. henselae IgG Titer	<1:64
B. henselae IgM Screen	Negative
B. henselae IgM Titer	<1:20
B. quintana IgG Screen	Negative
B. quintana IgG Titer	<1:64
B. quintana IgM Screen	Negative
B. quintana IgM Titer	<1:20

Clinical Significance
Bartonella. henselae infections have been associated with many clinical presentations, including cat scratch disease, bacillary angiomatosis, peliosis hepatis, and bacteremia. B. quintana infections have been associated with trench fever and bacillary angiomatosis.

Performed By
Quest Diagnostics Nichols Institute