Tick ID with Reflex to Borrelia species DNA, Real-Time PCR, Tick

Test Code

CPT Codes

When applicable, Borrelia species DNA, Qualitative, Real-Time PCR, Tick will be performed at an additional charge (CPT code(s): 87801)

Applicable results:
Ixodes scapularis (Deer Tick)
Ixodes pacificus (Western Black-legged Tick)
Ixodes angustus
Ixodes species (probably Ixodes pacificus). Head and mouthparts missing.
Ixodes species (probably Ixodes scapularis). Head and mouthparts missing.
Ixodes spinipalpis

Preferred Specimen
70% alcohol preserved tick, insect, larva, etc. collected in a plastic, sterile, leak-proof container

Transport Temperature
Room temperature

Specimen Stability
Room temperature: 14 days
Refrigerated: 14 days
Frozen: Unacceptable

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Dried samples

Microscopic and Macroscopic Examination

Setup Schedule
Set up: Mon-Sat; Report available: 4-7 days

Reference Range
See Laboratory Report

Clinical Significance
Identification of the Ixodes tick species will result in reflex to Real-Time PCR for detection of Borrelia species in the tick. The diagnosis of Borreliosis is most often made by clinical examination combined with evidence of a tick bite and/or exposure in endemic areas. Amplification of Borrelia genomic DNA from a tick can help support the diagnosis.

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

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.