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Lyme Disease (Borrelia spp) DNA Qualitative

Order Name LYME PCR
Test Number: 3622100
Revision Date 02/01/2021
Test Name Methodology LOINC Code
Lyme Disease (Borrelia spp) DNA Qualitative
Polymerase Chain Reaction 4991-6 
SPECIMEN REQUIREMENTS
Specimen Specimen Volume (min) Specimen Type Specimen Container Transport Environment
Preferred 1 mL (0.5) Plasma EDTA (Lavender Top) Frozen
Alternate 1 1 mL (0.5) CSF (Cerebrospinal Fluid) Sterile Screwtop Container Frozen
Alternate 2 See Instructions Tissue Sterile Orange Screwtop Container Frozen
Instructions  Collect: Lavender (EDTA) Plasma, CSF or Synovial fluid or Tissue, Serum from SST tube also acceptable.
Separate serum or plasma from cells. Transfer 1mL(0.5mL) serum, plasma, CSF or synovial fluid to an aliquot tube. Tissue: Transfer to an aliquot tube and freeze immediately.
Unacceptable Conditions: Heparinized specimens; tissues in optimal cutting temperature compound.
Stability: Tissue: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 year
All Others: Ambient: 8 hours; Refrigerated: 72 hours; Frozen: 1 year
GENERAL INFORMATION
Testing Schedule Mon, Wed, Fri  
Expected TAT 2-5 Days  
Clinical Use 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 tissue can support the diagnosis. 
Notes Reference Lab: ARUP
ARUP Test Code: 55570
Click Here to view information on the ARUP website.
CPT Code(s) 87476
Lab Section Reference Lab