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HelpTest Code TICKP Tick Borne Panel (Does not include Lyme disease testing)
Useful For
- Evaluation of the most common tick-borne diseases found in the United States, including anaplasmosis, ehrlichiosis, and babesiosis.
- Does not include Lyme disease testing. Order LYMPAN for Lyme disease serology on serum.
- Evaluation of patients with a history of, or suspected, tick exposure who are presenting with fever, myalgia, headache, nausea, and other nonspecific symptoms.
This panel consists of Real-Time PCR tests for Anaplasma, Ehrlichia, and Babesi microti. This panel should not be used for screening asymptomatic individuals, and should only be used to test patients with signs and symptoms of Ehrlichiosis, Anaplasmosis and/or Babesiosis.
Synonyms/Keywords
Anaplasma phagocytophilum, Babesia microti, Babesiosis, Ehrlichia/Anaplasma
Specimen Requirements
| Fasting Required | Specimen Type | Preferred Container/Tube | Acceptable Container/Tube | Specimen Volume | Specimen Minimum Volume (allows for 1 repeat) |
Pediatric Minimum Volume (no repeat) |
|---|---|---|---|---|---|---|
| No | Whole Blood | EDTA Lavender Top Tube (LTT) | 3.0 mL | 2.0 mL | 1.0 mL |
Collection/Processing Instructions
It is preferred that a separate tube be collected for this test; sample should not be entered for another test under conditions where cross contamination may occur.
If only one tube is available and has already been entered, test can still be performed. In the event of a positive result, commentary will be appended to the report informing provider of possibility of cross contamination.
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Whole Blood EDTA | Refrigerate | 7 days |
Rejection Criteria
| Anticoagulants other than EDTA |
|---|
| Gross Lipemia |
| < 3.0 mL |
Test Information
This test was developed and its performance characteristics determined by Marshfield Labs. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. This test is for clinical purposes. It should not be regarded as investigational or for research. This laboratory is certified under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical testing.
Ehrlichia species detected with this assay include: Ehrlichia chaffeensis, Ehrlichia muris subsp. eauclairensis, and E. ewingii.
This assay does not detect Ehrlichia canis. If E. canis is suspected, EPCRB send out to Mayo Laboratories should be requested (order as MISC).
Reference Range Information
| Performing Location | Reference Range |
|---|---|
| Marshfield | Negative for Babesia microti Negative for Anaplasma phagocytophilum and Ehrlichia species |
Marshfield Labs Performing Department
Marshfield Labs Molecular Pathology
Performing Information
| Performing Location | Day(s) Test Performed | Analytical Time | Methodology/Instrumentation |
|---|---|---|---|
|
Marshfield |
Monday through Friday | 4 hours | Polymerase Chain Reaction, PCR |
CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 87468 | 1 | |||
| 87469 | 1 | |||
| 87484 | 1 |
Outreach CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 87468 | 1 | |||
| 87469 | 1 | |||
| 87484 | 1 |
Ordering Applications
| Ordering Application | Description |
|---|---|
| Cerner | Tick Borne Panel w/o Lyme |