Lyme Disease Serology, Modified Two Tier
| PATIENT INFO |
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| PHYSICIAN INFO |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Lyme Disease Serology, Modified Two Tier | |
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| SPECIMEN INFO |
| Collection Date & Time: |
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Test ID :
LAB1776
Specimen Type:
Blood
Tube Type:
Serum-separator tube (SST) - Preferred; Red top tube-Serum - Acceptable
Collection Volume:
1.5 mL (minimum 1.0 mL)
Cause for Rejection:
Grossly hemolyzed, grossly lipemic, insufficient quantity
Storage:
Refrigerated
Availability:
Monday - Friday
Methodology:
Chemiluminescent Immunoassay (CLIA)
Lab/Phone:
330-543-4863
TAT:
1-4 days
Additional Info:
The "Lyme Total Antibody, Tier One Test" will first be performed. If the result is Negative, then no further testing will be performed. If the result is Equivocal or Positive, the "Lyme Disease Antibody, IgG, Supplement Tier Two Test" and the "Lyme Disease Antibody, IgM, Supplemental Tier Two Test" will be performed at an addition charge.
CPT Code:
86618, (86617x2 if tier two testing performed)
Synonyms:
Borrelia Burgdorferi
Specimen Collection Procedures:
