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

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

Test Code

90558
87168
90558
87168
In-home collection is not available in your area through Quest Mobile.

Clinical Significance

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

Test Resources

Test FAQ

Lyme Disease Testing

Algorithm

An Approach to the Differential Diagnosis of Tick-borne Diseases

Clinical Focus

Lyme Disease: Laboratory Support of Diagnosis and Management

Topic Brief

Tick-borne Disease: Laboratory Support of Diagnosis and Management

Test Details

Includes

  • 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

Methodology

Microscopic and Macroscopic Examination

Alternative Name(s)

Tick ID with Reflex to Lyme Disease DNA

LOINC® Codes, Performing Laboratory

Service Area must be determined
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

Methodology

Microscopic and Macroscopic Examination

Alternative Name(s)

Tick ID with Reflex to Lyme Disease DNA
Service Area must be determined

Preferred Specimen(s)

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

Minimum Volume

1 tick

Transport Container

Plastic sterile leak-proof container

Transport Temperature

Room temperature

Specimen Stability

  • Room temperature: 14 days
  • Refrigerated: 14 days
  • Frozen: Unacceptable

Reject Criteria

Dried samples • 10% formalin specimens

Setup Schedule

Service Area must be determined
70% alcohol preserved tick, insect, larva, etc. in a plastic sterile leak-proof container
1 tick
Plastic sterile leak-proof container
Room temperature
Room temperature: 14 days
Refrigerated: 14 days
Frozen: Unacceptable
Dried samples • 10% formalin specimens
Service Area must be determined
In-home collection is not available in your area 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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