Lyme Disease Antibodies (Late Disease)
Label Mnemonic: LYMEL
Epic code: LAB7770
Downtime form: A-1a Doctor/Provider Orders - Pathology Core and Specialty Care Nursery
Chemistry
6240 RCP
356-3527
Specimen(s):
Serum
Collection Medium:
Red top tube 5 mL (Clot Activator)
Minimum:
3 mL whole blood from red top tube or TWO red top Microtainer® devices for pediatric patients
Testing Schedule:
24 hrs/day, 7 days a week, including holidays.
Turn Around Time:
2 hours (upon receipt in laboratory)
Reference Range:
Borrelia burgdorferi IgM & IgG Antibodies
  <=0.8 AI: Negative
  0.9 – 1.0 AI: Equivocal
  >=1.1 AI: Positive

Lyme Ab IgG Confirmation
  Negative
Comments:
Preferred reflex test to detect Lyme disease in individuals with >4 weeks of clinical symptoms or exposure to tick. Positive screen confirmed by Immunoblot.

If initial screen is equivocal or positive, then Immunoblot will be added. Additional charges apply.
Methodology:
Multiplex Flow Immunoassay/Qualitative Western Blot
CPT Code:
86618; if positive, add 86617