Tick-borne Disease, Acute Molecular Panel, Non-Lyme

Tick-borne Disease, Acute Molecular Panel, Non-Lyme

Test Code

32338
87468, 87469, 87478, 87484
⁠⁠⁠⁠⁠⁠⁠CPT coding may differ dependent on payer rules which may impact prior authorization testing.
Please direct any questions regarding CPT coding to the payer being billed.
32338
87468, 87469, 87478, 87484
⁠⁠⁠⁠⁠⁠⁠CPT coding may differ dependent on payer rules which may impact prior authorization testing.
Please direct any questions regarding CPT coding to the payer being billed.
In-home collection may be available in your area for purchase through Quest Mobile.

Clinical Significance

Tick-borne Disease, Acute Molecular Panel, Non-Lyme - Persons infected with Borrelia miyamotoi most likely have fever, joint pains, fatigue, and headache, though unlike Lyme disease, rash is uncommon.
The diagnosis of Borrelia miyamotoi is most often made by history and clinical examination combined with exposure in endemic areas. Amplification of B. miyamotoi genomic DNA from blood, fluids or tissues confirms the diagnosis.

Test Resources

Test FAQ

Lyme Disease Testing

Algorithm

Serological Test Selection for the Differential Diagnosis of Tick-borne Diseases Based on Geographic Origin and Symptoms of Infection

Topic Brief

Tick-borne Disease: Laboratory Support of Diagnosis and Management

Test Details

Includes

  • Anaplasma Phagocytophilum DNA, Qualitative Real-Time PCR
  • Babesia microti DNA, Real-Time PCR
  • Borrelia miyamotoi DNA, Real-Time PCR, Miscellaneous
  • Ehrlichia chaffeensis DNA, Real-Time PCR

Methodology

Real-Time Polymerase Chain Reaction

Assay Category

This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Reference Range(s)

Anaplasma phagocytophilum DNA, QL Real Time PCR Not Detected
Babesia microti DNA, Real-Time PCR  Not Detected
Borrelia miyamotoi DNA, Real-Time PCR, Misc  Not Detected
Ehrlichia chaffeensis DNA, Real-Time PCR  Not Detected

LOINC® Codes, Performing Laboratory

Service Area must be determined
Anaplasma Phagocytophilum DNA, Qualitative Real-Time PCR
Babesia microti DNA, Real-Time PCR
Borrelia miyamotoi DNA, Real-Time PCR, Miscellaneous
Ehrlichia chaffeensis DNA, Real-Time PCR

Methodology

Real-Time Polymerase Chain Reaction
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Reference Range(s)

Anaplasma phagocytophilum DNA, QL Real Time PCR Not Detected
Babesia microti DNA, Real-Time PCR  Not Detected
Borrelia miyamotoi DNA, Real-Time PCR, Misc  Not Detected
Ehrlichia chaffeensis DNA, Real-Time PCR  Not Detected
Service Area must be determined

Preferred Specimen(s)

3 mL whole blood collected in an EDTA (lavender-top) tube

Minimum Volume

1.5 mL

Transport Container

EDTA (lavender-top) tube

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

  • Room temperature: 48 hours
    Refrigerated: 7 days
    Frozen: 30 days

Reject Criteria

Hemolysis • Heparin as an anticoagulant

Setup Schedule

Service Area must be determined
3 mL whole blood collected in an EDTA (lavender-top) tube
1.5 mL
EDTA (lavender-top) tube
Refrigerated (cold packs)
Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 30 days
Hemolysis • Heparin as an anticoagulant
Service Area must be determined
In-home collection may be available in your area for purchase through Quest Mobile.
Test Details

Clinical Significance

Test Resources

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

The CPT codes provided are based on AMA guidance and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

This material contains content from LOINC® (http://loinc.org). The LOINC Table, LOINC Table Core are copyright © 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license.

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