Bartonella henselae Antibodies (IgG, IgM) with Reflex to Titers

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


Test Code
BHENAB


CPT Codes
86611 (x2)

Includes
If B. henselae IgG Screen is positive, then the B. henselae IgG titer will be performed at an additional charge (CPT code(s): 86611).
If B. henselae IgM Screen is positive, then the B. henselae IgM titer will be performed at an additional charge (CPT code(s): 86611).


Preferred Specimen
1 mL serum


Minimum Volume
0.2 mL


Transport Temperature
Room temperature


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


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis • Grossly lipemic • Grossly icteric


Methodology
Immunofluorescence Assay (IFA)

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule
Monday-Saturday Morning Report available: Next Day


Limitations
B. quintana and B. henselae as well as chlamydia species and Coxiella burnetii may cross-react and produce false-positive results.


Reference Range
B. henselae (IgG) Screen Negative
B. henselae (IgM) Screen Negative


Clinical Significance

Bartonella henselae infections have been associated with many clinical presentation, including cat scratch disease, bacillary angiomatosis, peliosis hepatitis, and bacteremia.



Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153


Last Updated: November 24, 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.