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HelpTest Code STICK Tick-Borne Antibodies, Modified 2-Tier, ELISA, Serum
Ordering Guidance
During the acute phase of an Anaplasma phagocytophilum, Ehrlichia chaffeensis, or Babesia infection, serologic tests are often nonreactive and detection by molecular assays is recommended. Polymerase chain reaction (PCR) testing is available to aid in the diagnosis of these cases; see EPCRB / Ehrlichia/Anaplasma, Molecular Detection, PCR, Blood and BABPB / Babesia species, Molecular Detection, PCR, Blood.
Specimen Required
Supplies: Sarstedt Aliquot Tube 5 mL (T914)
Collection Container/Tube:
Preferred: Serum gel
Acceptable: Red top
Submission Container/Tube: Plastic vial
Specimen Volume: 1.35 mL Serum
Collection Instructions: Centrifuge and aliquot serum into a plastic vial.
Reflex Tests
| Test ID | Reporting Name | Available Separately | Always Performed |
|---|---|---|---|
| TLYME | Lyme IgM/IgG, WCS, EIA, S | Yes | No |
Specimen Type
SerumSpecimen Minimum Volume
Serum: 1.1 mL
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Serum | Refrigerated (preferred) | 10 days |
| Frozen | 14 days |
Reject Due To
| Gross hemolysis | Reject |
| Gross lipemia | Reject |
| Gross icterus | Reject |
| Heat-inactivated specimen | Reject |
Reference Values
ANAPLASMA PHAGOCYTOPHILUM ANTIBODY, IGG
<1:64
Reference values apply to all ages.
EHRLICHIA CHAFFEENSIS (HME) ANTIBODY, IGG
<1:64
Reference values apply to all ages.
BABESIA MICROTI IGG ANTIBODIES
<1:64
Reference values apply to all ages.
LYME ANTIBODY
Negative
Reference values apply to all ages.
Day(s) Performed
Monday through Friday
Report Available
2 to 4 daysSpecimen Retention Time
14 daysPerforming Laboratory
Mayo Clinic Laboratories in Rochester
CPT Code Information
86618
86666 x 2
86753
86617 x 2 (if appropriate)