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Tick Panel with Lyme

Order Name Tick Pnl Lyme
Test Number: 6906283
Revision Date 06/07/2018
Test Name Methodology LOINC Code
Ehrlichia chaffeensis Antibody, IgM, IgG
Immunofluorescence Assay (IFA)  
Tularemia Antibody
Non-viable bacterial cell agglutination assay 23125-8 
Rocky Mountain Spotted Fever (RMSF) IgG, IgM
Immunofluorescence Assay (IFA)  
Lyme Antibody IgG and IgM
Chemiluminescence Assay  
SPECIMEN REQUIREMENTS
Specimen Specimen Volume (min) Specimen Type Specimen Container Transport Environment
Preferred 4 mL Serum Clot Activator SST Refrigerated or Frozen
Instructions Allow 15-30 minutes for specimen to clot, then Separate serum or plasma from cells ASAP or within 2 hours of collection.
Specimen Stability: Room Temperature: Unacceptable, Refrigerated: 2 Weeks, Frozen 30 Days
GENERAL INFORMATION
Testing Schedule Assay Dependant  
Expected TAT 3-5 Days  
Clinical Use E. chaffeensis - A tick-borne disease common to the OK/ARK/MO/KS area. Peak titers will occur at 6 weeks after onset. Only 22% will be positive after 1 week, 68% after 2 weeks and 100% after 4 weeks.
Rocky Mountain Spotted Fever - To assist in the diagnosis of RMSF. Patients may not seroconvert until 10 days after onset of illness.
Tularemia Antibody - Diagnosis of exposure to Francisella tularensis.
Lyme Antibody - All positives or borderline results are confirmed with western blot. Serology may not be positive until 2-4 weeks after onset of erythema migrans. 
Notes If the Lyme Antibody Interpretation is either Equivocal or Positive a Lyme Disease(Borrelia burgdorferi IgG,IgM) Western Blot will be performed for confirmation at an additional cost.
Order Code: [5586925] Lyme IgG, IgM Abs by Western Blot
Result Code: [5581350] Lyme IgG by WB, LOINC: 6320-6
Result Code: [5581400] Lyme IgM by WB, LOINC: 6321-4
CPT Code(s) 86666x2, 86668, 86757x2, 86618
Lab Section Immunology - Serology