Tick ID with Reflex to Lyme Disease DNA, Real-Time PCR, Tick

Test Code
90558


CPT Codes
87168

Includes
If Ixodes is identified, then Lyme Disease (Borrelia spp.) DNA, Qualitative, Real-Time PCR, Tick will be performed at an additional charge (CPT code(s): 87801).


Preferred Specimen
70% alcohol preserved tick, insect, larva, etc. collected in a plastic, sterile, leak-proof container


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 14 days
Refrigerated: 14 days
Frozen: Unacceptable


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


Methodology
Microscopic Examination • Macroscopic Examination

Setup Schedule
Set up: Mon-Sat; Report available: 4-7 days


Reference Range
See Laboratory Report


Clinical Significance
Lyme disease borreliae (Borrelia burgdorferi) are transmitted to humans most commonly by Ixodes ticks. During a blood meal, B. burgdorferi migrate to the salivary glands where transmission to humans occurs, generally after at least 36 hours of attachment. Ticks with the potential of carrying B. burgdorferi may be tested by molecular methods to assess the risk of transmission.


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.