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 Field Name  Data Description
Test Name  Lyme, Total Ab Test/Reflex.
Code  Lyme, Total Ab Test/Reflex.
CPT Code  86618
Last Modified  5/17/2022 2:01:00 PM
Test Name  LymeAbRflx.
Synonyms  Borrel, Ixodes, Lyme/G, Lyme, Tick,
Patient Preparation  
Spec. Requirements  Blood
Tube  Red or Gold
Collection Volume  Red 4.0 mL or Gold 3.5 mL
Storage  Ambient, Refrigerated or Frozen 14 days
Routine TAT  
STAT TAT  N/A
Days Test Performed  
Performed by BHS  None
See Availability  
Reference Lab  LabCorp of America
Reference Lab Code  164226 Lyme Disease Serology w/Reflex
Clinical Use  Aid in the diagnosis of Lyme disease in individuals with clinical signs and symptoms consistent with Lyme disease. Lyme disease should be considered based on the presence of typical signs and symptoms of infection in patients with a history of possible exposure to infected ticks. This panel utilizes FDA-cleared assays following the modified two-tiered testing (MTTT) algorithm.
Reference Range  
Critical Value  
Testing Sample Type  Serum
Min Lab Testing Volume  2.0 (0.75 no repreat testing) mL
Special Handling  Specimens are tested using an immunoassay measuring combined IgG and IgM antibodies to specific borrelial proteins; if reactive, the specimens are then tested in separate Borrelia burgdorferi IgG and IgM immunoassays
Lab Notes  Gel-barrier Tube, Serum Transfer Tube, EDTA Plasma, Lithium Heparin Plasma, Plasma Transfer Tube. If tube other than a gel-barrier is used, transfer separatedserum or plasma to a labeled plastic transport tube. Do NOT freeze gel-barrier tube (pour off serum first).
Methodology  CL - Chemiluminescence
Limitations  Rejection: Gross hemolysis; gross lipemia; samples containing particulate matter or exhibiting obvious microbial contamination.
 

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