Borrelia burgdorferi DNA, Qualitative Real-Time PCR, Miscellaneous

Test Code
LYMECSFPCR


Quest Code
39209


Alias/See Also
Lyme Synovial Fluid
Lyme CSF Fluid
Lyme Blood


CPT Codes
87476

Preferred Specimen
3 mL whole blood collected in an EDTA (lavender-top) tube or
3 mL CSF or synovial fluid collected in a sterile plastic leak-proof container


Minimum Volume
0.5 mL


Other Acceptable Specimens
Whole blood collected in: ACD (yellow-top) tube


Transport Temperature
Refrigerated (cold packs)


Specimen Stability

Whole blood
Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 30 days

CSF or synovial fluid
Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 30 days



Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Lithium heparin (green-top) tube • Sodium heparin (green-top) tube


Methodology
Real-Time Polymerase Chain Reaction

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
Set up: Mon-Sat; Report available: 2-3 days


Reference Range
Not detected


Clinical Significance
The diagnosis of Lyme disease is most often made by clinical examination combined with evidence of tick bite or exposure in endemic areas. Amplification of Borrelia genomic DNA from blood, fluids or tissues can support the diagnosis. A negative result does not rule out Borrelia infection and appropriate serology testing may be clinically warranted.


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



Last Updated: May 8, 2023


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.