Lyme Antibody w/ Western Blot Confirmation

Message
For Specimen Integrity during Extreme Weather see the “Lockbox Usage in Extreme Weather” document at the top of this page.


Test Code
LYME


Alias/See Also
6646;
B Burgdorferi;
Borrelia B Earl;
Borrelia Burgdorferi (serum);
Borrelia Burgdorferi Antibodies;
Lyme (serum);
Lyme Disease;
Lime Disease AB Screen (Total),
EIA; Lyme Early;
Lyme IgG & IgM;&nbs


CPT Codes
86618 (reflex 86617(2))

Includes
Western blot confirmation(8593) CPT code(s) 86617x2 performed when screen is positive at an additonal charge.


Preferred Specimen
1 mL serum (minimum 0.5 mL) 


Instructions
SST or Red top: Avoid hemolysis. Invert a minimum of 5 times, then allow to clot in an upright position for 30 minutes. Centrifuge the the tube for at least 10 minutes. Keep tightly stoppered.


Transport Container
SST (speckled top), Red top , Plastic Vial (transfer) tube


Transport Temperature
Refrigerated (preferred)


Specimen Stability
Room Temperature = n/a
Refrigerated = 7 days
Frozen = at least 7 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Rejected for gross hemolysis, and lipemia. Microbial contamination may interfere. Plasma will be rejected


Methodology
Enzyme Immunoassay

Setup Schedule
Tuesday and Thursday
BS


Report Available
6 days


Clinical Significance
Lyme disease is caused by a bacterium borrelia burgdorferi and is transmitted by ticks. EIA is the screening test with high sensitivity for antibody detection. Western blot testing qualitatively examines with high specificity antibodies in a patient's specimen. Western blot testing is appropriate for confirming a detected EIA test result.


Performing Laboratory
CompuNet Clinical Laboratories, LLC
2308 Sandridge Drive
Moraine, OH 45439



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.