HETL Arbovirus

Test Code
HARB


CPT Codes
• 86652 - EEE • 86788 - WNV • 86653 - SLE

Preferred Specimen
• Cerebral Spinal Fluid (CSF) 1.0ml minimum, 2.0ml preferred. Collect specimen in a sterile leak
proof container. Avoid contamination of CSF with blood.
• Serum: 1.0ml minimum. Collect in a serum seperator tube.


Minimum Volume
• Cerebral Spinal Fluid (CSF) 1.0ml minimum,
• Serum: 1.0ml minimum.


Instructions
HETL Arbovirus submission form is required, in addition to the HETLrequisition form
• Information on requisition must include: suspected organism, patient name, DOB, date of collection,
specimen source or type, or isolate, submitter name and contact information.
• Important: all specimens must be labeled with patient name, DOB or other unique identifier,
and be accompanied by a HETL requisition and Arboviral submission form.
• Spinal Fluid: Collect acute specimens 2–10 days after onset of symptoms in sterile container.
• Serum: Collect acute specimens immediately , in serum separator tube.
• Convalescent specimen may be submitted 2 – 3 weeks after acute sample
• Ship specimens on frozen cold packs.


Transport Container
• Spinal Fluid: Collect acute specimens 2–10 days after onset of symptoms in sterile container.
• Serum: Collect acute specimens immediately , in serum separator tube.


Transport Temperature
 Ship specimens on frozen cold packs.


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
• Specimens received without a requisition form, clinical details or with insufficient material to
analyze. Specimens in poorly labeled, unlabeled, or leaking containers. Specimens transported at
incorrect temperature.
• CSF or serum diluted in Viral Transport Media (VTM). Blood specimens that are clotted..


Report Available
•MIA results are generally available within 5-7 business days of specimen receipt


Reference Range
WNV IgM-Negative or Positive ; EEE IgM-Negative or Positive; SLE IgM-Negative or Positive.


Clinical Significance
• Bacteriology at 207-287-1704
• Virology, Respiratory, Arbovirus, Serology, and STI at 207-287-1722
•Molecular Biology, Sequencing, and Foodborne at 207-287-5769
•Mycobacterium and Rabies at 207-287-1706


Performing Laboratory
Department of Health and Human Services
Health and Environmental Testing Laboratory
47 Independence Drive
# 12 State House Station
Augusta, Maine 04333-0012
Tel: (207) 287-2727; Fax: (207) 287-6832
TTY: 1-800-606-0215

Additional Information
Arborvirus Submission Form
HETL Submission Form


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.