Febrile Antibodies Panel

Febrile Antibodies Panel

Test Code

91121
86757 (x4), 86622 (x2), 86768 (x5)
91121
86757 (x4), 86622 (x2), 86768 (x5)
In-home collection may be available in your area for purchase through Quest Mobile.

Clinical Significance

Febrile Antibodies Panel -

This panel comprises antibody testing for infections caused by Ricketssia rickettsii, Richetssia typhi, Salmonella, and Brucella in patients with fever. A 4-fold change in titers of antibodies between acute and convalescent sera confirms the infection. This panel provides targeted identification of antibodies, which supports differential diagnosis and can provide evidence of exposure.

R rickettsii causes Rocky Mountain spotted fever (RMSF), the most severe rickettsial disease in the United States. RMSF is transmitted via several species of ticks ...

Test Details

Includes

  • Rickettsia (RMSF) Antibodies (IgG, IgM) with Reflex to Titers
    Rickettsia (Typhus Fever) Antibodies (IgG, IgM) with Reflex to Titers
    Salmonella, Total Antibody, EIA (Salmonella H Type a, Salmonella H Type b, Salmonella H Type d, Salmonella O Type Vi, Salmonella O Type D)
    Brucella Antibodies (IgG, IgM), EIA with Reflex to Agglutination

    If Rickettsia (RMSF) screen is Detected, IgG or IgM, then the appropriate Titer will be performed at an additional charge (CPT code(s) 86317 per titer performed).

    If Rickettsia (Typhus Fever) screen is Detected, IgG or IgM, then the appropriate Titer will be performed at an additional charge (CPT code(s) 86317 per titer performed).

    If Brucella IgM is ≥1.10, then Brucella Antibody Agglutination will be performed at an additional charge (CPT code(s): 86622).

Methodology

See individual tests

Reference Range(s)

RMSF IgGNot detected
RMSF IgMNot detected
   
R. typhi IgGNot detected
R. typhi IgMNot detected
   
Salmonella H, Type aNegative
Salmonella H, Type bNegative
Salmonella H, Type dNegative
Salmonella O, Type ViNegative
Salmonella O, Type DNegative
   
Brucella IgG<0.80
Brucella IgM<0.80

LOINC® Codes, Performing Laboratory

Rickettsia (RMSF) Antibodies (IgG, IgM) with Reflex to Titers
Rickettsia (Typhus Fever) Antibodies (IgG, IgM) with Reflex to Titers
Salmonella, Total Antibody, EIA (Salmonella H Type a, Salmonella H Type b, Salmonella H Type d, Salmonella O Type Vi, Salmonella O Type D)
Brucella Antibodies (IgG, IgM), EIA with Reflex to Agglutination

If Rickettsia (RMSF) screen is Detected, IgG or IgM, then the appropriate Titer will be performed at an additional charge (CPT code(s) 86317 per titer performed).

If Rickettsia (Typhus Fever) screen is Detected, IgG or IgM, then the appropriate Titer will be performed at an additional charge (CPT code(s) 86317 per titer performed).

If Brucella IgM is ≥1.10, then Brucella Antibody Agglutination will be performed at an additional charge (CPT code(s): 86622).

Methodology

See individual tests

Reference Range(s)

RMSF IgGNot detected
RMSF IgMNot detected
   
R. typhi IgGNot detected
R. typhi IgMNot detected
   
Salmonella H, Type aNegative
Salmonella H, Type bNegative
Salmonella H, Type dNegative
Salmonella O, Type ViNegative
Salmonella O, Type DNegative
   
Brucella IgG<0.80
Brucella IgM<0.80

Preferred Specimen(s)

3 mL serum

Minimum Volume

0.8 mL

Transport Container

Transport tube

Transport Temperature

Room temperature

Specimen Stability

  • Room temperature: 7 days
  • Refrigerated: 14 days
  • Frozen: 30 days

Setup Schedule

3 mL serum
0.8 mL
Transport tube
Room temperature
Room temperature: 7 days
Refrigerated: 14 days
Frozen: 30 days
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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