Legionella Antigen, Urine

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Test Code
LEGUAG


Alias/See Also
8856


CPT Codes
87449

Preferred Specimen
5 mL Urine (minimum 0.5 mL)


Transport Container
Sterile Urine Cup


Transport Temperature
Room Temperature or Refrigerated


Specimen Stability
Room Temperature = 1 day
Refrigerated = 14 days
Frozen = at least 7 days


Methodology
EIA

Setup Schedule
Days Monday - Sunday
BS


Report Available
1 day


Reference Range
SEX AGE Report Normals Units
N/M/F 1000Y Negative  
This assay is specific for legionella pneumophila serogroup 1 which causes more then 50% of all legionella infections.  This assay will not detect infections caused by other legionella species / serogroups.  Antigenuria may persist for prolonged periods of time. 


Clinical Significance
The detection of Legionella pneumophila serogroup 1 urine antigens by EIA is highly sensitive and specific. When combined with serum antibody detection and examination of respiratory secretions the urinary antigen test provides optimal diagnosis. Antigenuria can occur 2-3 days after infection and may persist for prolonged periods after treatment.Regardless of whether a urine antigen test is used culture should always be performed because culture diagnosis continues to be the most sensitive and specific means to diagnose legionnaire's disease. Only serogroup 1 is detected by EIA. Culture must be performed to detect other serogroups.


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


Last Updated: November 22, 2021


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.