T-Spot TB Test

Test Code
478


CPT Codes
86481

Preferred Specimen

Specimens must be shipped the same day of collection, weekend draws are not acceptable.  Specimens must be received at the Cox South laboratory no later than 4pm Monday-Friday; on the day of collection.
In order to allow sufficient transport time; specimens must be received in the Branson or Monett laboratories by noon Monday-Friday, on the day of collection.



Container/Tube: Sodium heparin whole blood (no gel tubes)
Specimen Volume:
   Adults and Children >10 yrs: 6 mL
   Children 2-10 yrs: 4 mL
   Children 2 and under: 2 mL
NOTE: If patient is immunocomprimised; collect two tubes of blood
 




Transport Temperature
Room temperature


Methodology
Enzyme-Linked Immunospot

Setup Schedule
Monday through Friday


Reference Range
Negative


Clinical Significance
The T-SPOT®.TB test is a unique, single-visit blood test, also known as an interferon-gamma release assay (IGRA) for TB infection.  The T-SPOT.TB test does not cross react with the bacille Calmette-Guerin (BCG) vaccine and there is no association between
T-SPOT.TB test results and immunocompromised status.

According to the CDC Guidelines, IGRAs (e.g. the T-SPOT.TB test) may be used in place of a TST in most situations and are preferred for BCG vaccinated individuals and for those persons who are unlikely to return for the reading of the test results


Performed By
CoxHealth

Performing Laboratory
Oxford Diagnostic Laboratories



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.