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LYME, WESTERN BLOT, CSF

Test Code
160457


CPT Codes
86617

Includes
"


Western blot, CSF; analysis and interpretation for IgG-specific and IgM-specific antibodies
"


Preferred Specimen
"Cerebrospinal fluid (CSF)
"


Minimum Volume
"


1 mL
"


Transport Container
"


Sterile plastic tube
"


Transport Temperature
"Refrigerate
"


Methodology
"Western blot "

Limitations
"This procedure may be considered by Medicare and other carriers as investigational and, therefore, may not be payable as a covered benefit for patients
"


Reference Range
"• Positive: Five of the following Borrelia-specific bands: P18, P23, P28, P30, P39, P41, P45, P58, P66, P93

• Negative: No bands or banding patterns that do not meet positive criteria
"




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.