Treponema Screen

Message
Performing Lab: Park Nicollet


Test Code
LABS20157


Alias/See Also
Sunquest;TRPAB; RPR; EPIC; LABS20157;
 


CPT Codes
86593

Preferred Specimen
Serum from a serum separator tube or plain red tube


Minimum Volume
1.0 mL


Transport Temperature
Refrigerated


Specimen Stability
Refrigerated:7 Days
Ambient: 5 days
Frozen: 6 Months


Methodology
Chemiluminescent immunoassay

Setup Schedule
Monday through Friday


Limitations
Unacceptable Specimens: CSF, Plasma, Body Fluid Specimens, Severly Lipemic, contaminated, or hemolyzed specimens


Clinical Significance
Treponemal Result (TRPAB Non-Treponemal Result (RPR) Report/Interpretation for all except Neonates and infants
Negative Non-Reactive No serological evidence of infection with Treponemal pallidum (incubating or early primary syphillis cannot be excluded)
Negative Reactive Current infection unlikely; probability of biological false positives secondary to other medical conditions (febrile diseases, immunizations, IVDU, autoimmune diseases, etc) Recommend repeat testing (Non-treponemal and treponemal by other test methods)
Prelim Non-Reactive Probably past infection or potential cross reactivity with other spirochetes/related antigens; additional testing appropriate to clinical findings/history; possibility of false negative non-treponemal due to prozone or late syphilis or neurosyphilis.
Prelim Reactive Presumptive evidence of current infection (or inadequately treated infection, persisitent infection, reinfection, or biological false positive if prior history) additional testing consistent with clinical assesment
Not Done Non-reactive Current infection unlikely; effectively treated infection if previous diagnosis and treatment




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.