Febrile Antibodies and Francisella Panel

Test Code
91122

CPT Codes
86757 (x4), 86622 (x2), 86768 (x5), 86000

Includes
Rickettsia (RMSF) Antibodies (IgG, IgM) with Reflex to Titers
If Rickettsia (RMSF) screen is detected, IgG or IgM, the appropriate Titer will be performed at an additional charge (CPT code(s) 86757 per titer performed).

Rickettsia (Typhus Fever) Antibodies (IgG, IgM) with Reflex to Titers
If Rickettsia (Typhus Fever) screen is detected, IgG or IgM, the appropriate Titer will be performed at an additional charge (CPT code(s) 86757 per titer performed).

Salmonella, Total Antibody, EIA (Salmonella H Type A, Salmonella H Type B, Salmonella H Type D, Salmonella O Type D, Salmonella O Type Vi)

Brucella Antibodies (IgG, IgM), EIA with Reflex to Agglutination
If Brucella IgM is ≥1.10, then Brucella Antibody Agglutination will be performed at an additional charge (CPT code(s): 86622).

Francisella tularensis Antibody, DA

Preferred Specimen
4 mL serum collected in a serum separator tube (SST®)

Minimum Volume
1.3 mL

Transport Temperature
Room temperature

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

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Grossly hemolyzed • Hyperlipemic • Contaminated • Icteric • Turbid sera are not acceptable • CSF and other fluids are not acceptable

Methodology
See individual tests

Setup Schedule
Set up: Mon, Thurs a.m.; Report available: 4 days

Reference Range
RMSF IgG Not detected
RMSF IgM Not detected
R. typhi IgG Not detected
R. typhi IgM Not detected

Salmonella H, Type A Negative
Salmonella H, Type B Negative
Salmonella H, Type D Negative
Salmonella O, Type Vi Negative
Salmonella O, Type D Negative

Brucella IgG <0.80
Brucella IgM <0.80

Francisella tularensis Ab <1:20


Performing Laboratory
Quest Diagnostics Infectious Disease, Inc.
33608 Ortega Highway, Bldg B-West Wing
San Juan Capistrano, CA 92675-2042




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.