Listeria Antibody, CF, CSF

Test Code
11012


CPT Codes
86609

Preferred Specimen
1 mL CSF collected in a sterile plastic leak-proof container


Minimum Volume
0.5 mL


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 7 days
Refrigerated: 14 days
Frozen: 30 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis • Grossly icteric


Methodology
Complement Fixation (CF)

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule
Set up: Tues-Sat; Report available: 2-5 days


Reference Range
<1:1 titer

Interpretive Criteria
<1:1 Antibody Not Detected
≥1:1 Antibody Detected
The recommended laboratory method for diagnosis Listeria infection of the central nervous system is CSF culture. The intended use of this complement fixation assay for Listeria antibodies is to document infection when culture is not performed, or when antibiotic treatment precludes obtaining an accurate culture result. Diagnosis of infections of the central nervous system can be accomplished by demonstrating the presence of intrathecally-produced specific antibody. Interpretation of results may be complicated by low antibody levels found in CSF, passive transfer of antibody from blood, and contamination via bloody taps.


Clinical Significance
A positive result suggests central nervous system infection.
However, results should be interpreted with caution.




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.