Tick-borne Disease, Acute Molecular Panel, Non-Lyme

Test Code

32338

Alias/See Also

LAB10022

CPT Codes
87468, 87469, 87478, 87484 CPT coding may differ dependent on payer rules which may impact prior authorization testing. Please direct any questions regarding CPT coding to the payer being billed.

Includes

Anaplasma Phagocytophilum DNA, Qualitative Real-Time PCR
Babesia microti DNA, Real-Time PCR
Borrelia miyamotoi DNA, Real-Time PCR, Miscellaneous
Ehrlichia chaffeensis DNA, Real-Time PCR

Preferred Specimen

3 mL whole blood collected in an EDTA (lavender-top) tube

Minimum Volume

1.5 mL

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 30 days

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Received frozen • Heparin as an anticoagulant

Methodology
Real-Time Polymerase Chain Reaction

Setup Schedule

Set up and Report available: See individual assays

Reference Range

Anaplasma phagocytophilum DNA, QL Real Time PCR	Not Detected
Babesia microti DNA, Real-Time PCR	Not Detected
Borrelia miyamotoi DNA, Real-Time PCR, Misc	Not Detected
Ehrlichia chaffeensis DNA, Real-Time PCR	Not Detected

Clinical Significance

Persons infected with Borrelia miyamotoi most likely have fever, joint pains, fatigue, and headache, though unlike Lyme disease, rash is uncommon.
The diagnosis of Borrelia miyamotoi is most often made by history and clinical examination combined with exposure in endemic areas. Amplification of B. miyamotoi genomic DNA from blood, fluids or tissues confirms the diagnosis.

Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153

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.