Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Test Name: Sunquest Test Code Epic Procedure Code Or ID CPT Code:  

LYME WESTERN BLOT IGG and IGM

ORDERING INFORMATION:
Sunquest Test Code:
LYMWBT      Geisinger Epic Procedure Code: 86617         Geisinger Epic ID: 7408

SPECIMEN COLLECTION
Specimen type:
Serum
Preferred collection container:
Alternate Collection Container:
6 mL red-top (plain, non-serum separator) tube
Specimen required:
0.5 mL serum; minimum 0.2 mL

SPECIMEN PROCESSING
Specimen processing instructions:
Allow to clot. Centrifuge and submit 0.5 mL serum. 
Transport temperature:
Refrigerated (preferred). Room temperature (stable 8 hours) and frozen specimens also acceptable.
Specimen stability:
Room temperature: 8 hours. 2-8°C: 7 days. Frozen: 6 months.
Rejection criteria:
Specimen stability exceeded; specimen grossly hemolyzed.

TEST DETAILS
Interpretation guide:
Negative: Lyme WB IGG: Less than 5 of 10 significant bands or no bands present.
Negative: Lyme WB IGM: Less than 2 of 3 significant bands or no band present.
Additional information:
Reference: 2nd National Conference on Serological Diagnosis Lyme Disease, CDC/ASTPHLD, 1994.
CPT code(s):
86617 x2
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.  The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.
Test includes:
Lyme Western Blot IgG, Lyme Western Blot IgM.
Methodology:
Western Blot
Synonyms:
Lyme Disease Western Blot IgG & IgM
Lyme Western Blot
Clinical significance:
Lyme Western Blot testing is recommended by the CDC for confirmation of positive or equivocal results from other Lyme disease testing to provide supportive evidence of infection with B. burgdorferi.
Doctoral Director(s:)
Stacy Kenyon, PhD, DABCC
Hoi-Ying Elsie Yu, PhD, DABCC    
Review Date: 10/24/2018

Performing Locations

Geisinger Medical Center

Performing laboratory: Immunology
Technical Lead: Kathy Hurst
Frequency: Wednesday, Friday, 1st shift
Performed stat? No
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