Lyme Antibody

Message
Performing Lab: Park Nicollet Methodist Hospital


Test Code
0537


Alias/See Also
Sunquest: LYMSC; Lyme Ab with reflex to Western Blot, Borrelia burgdorferi Antibody


CPT Codes
86618

Preferred Specimen
2.0 mL Serum Separator (gold-top) tube


Minimum Volume
1.0 mL


Other Acceptable Specimens
Red, Red/Gray


Transport Temperature
Refrgerated


Specimen Stability
Refrigerated: 7 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Grossly Hemolyzed, lipemic, or icteric specimens; plasma; unlabeled specimens


Methodology
Chemiluminescence Immunoassay

Setup Schedule
Monday - Friday


Report Available
2-3 Business Days


Limitations
This assay detects the total Lyme antibody (both IgG and IgM) however the test cannot distinguish between them.

This Lyme test is used as a screening test and should be confirmed by Western Blot testing since other spirochetal diseases (ie, syphilis), mononucleosis, occasionally SLE (systemic lupus
erythematosus) and other mixed connective tissue diseases may give false-positive results.
Equivocal and Positive Lyme specimens are sent to Quest Diagnostics for confirmation by Western Blot testing. Turn around time is generally 3 – 4 working days.


Reference Range
Negative: 0.00 to 0.90
 


Clinical Significance
Lyme disease is an infectious vector-borne disease caused by the spirochete Borrelia burgdorferi, and is transmitted through the bite of one of several Ixodes species of Ticks. In the northeastern and Midwestern United States, the organism is most often transmitted through the bite of the deer tick Ixodes dammini. The vector on the US West Coast is Ixodes pacificus, and in Europe the implicated vector is Ixodes ricinus. The disease is most often contracted in the summer months. The assay used at Central Laboratory will detect Lyme disease spread by any of the Ixodes species. Other spirochetal diseases (ie, syphilis), mononucleosis, occasionally SLE (systemic lupus erythematosus) and other mixed connective tissue diseases may give false-positive results. This Lyme test is used as a screening test and should be confirmed by Western Blot testing since other spirochetal diseases (ie, syphilis), mononucleosis, occasionally SLE (systemic lupus
erythematosus) and other mixed connective tissue diseases may give false-positive results.
Equivocal and Positive Lyme specimens are sent to Quest Diagnostics for confirmation by Western Blot testing. Turn around time is generally 3 – 4 working days.




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.