Lyme Disease Serology w/ Conf (Sendout)

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General Information

Lab Name
Lyme Disease Serology w/ Conf (Sendout)
Lab Code
RLYMES
Epic Ordering
Lyme Disease Serology w/ Conf (Sendout)
External Test Id
LYME
Description

Useful For:

  • Diagnosis of Lyme disease.
  • This test should not be used as a screening procedure for the general population.
  • This test should not be used for treatment monitoring.

Testing Algorithm: If Lyme disease serology is positive, then Lyme disease antibody confirmation by Immunoblot will be performed at additional charge.

Synonyms
B. burgdorferi, Borrelia burgdorferi, LYME, Lyme C6 Peptide Assay, Lymes, RLYM, Tick, Tick-borne, VlsE1/pepC10 Assay
Components
Code Name
RLYMER Lyme Disease Serology

Interpretation

Method

Enzyme-Linked Immunosorbent Assay (ELISA)

Reference Range
See individual components
Ref. Range Notes

Reference Values: Negative

Interpretation:

Negative: No evidence of antibodies to Borrelia burgdorferi detected. False-negative results may occur in recently infected patients (< or =2 weeks) due to low or undetectable antibody levels to B burgdorferi. If recent exposure is suspected, a second specimen should be collected and tested in 2 to 4 weeks.
Equivocal: Not diagnostic. Supplemental testing by immunoblot has been ordered by reflex.
Positive: Not diagnostic. Supplemental testing by immunoblot has been ordered by reflex.
Guidelines

Ordering & Collection

Specimen Type
Blood
Collection

3 mL blood in GOLD SST or RED TOP tube

Handling Instructions

Outside Laboratories: Centrifuge sample and transfer serum to a separate plastic vial. Refrigerate serum.

Stability: Refrigerated (preferred): 10 days; Frozen: 30 days; Ambient: Unacceptable.

Reject Due To: Gross hemolysis, gross lipemia, heat-inactivated specimen.

Quantity
requested: 0.5 mL serum
minimum: 0.4 mL serum

Processing

Processing

Centrifuge sample and transfer serum to a separate plastic vial. Refrigerate serum.

Sendouts:

  • Order Mayo Test: LYME.
  • Interfaced: Yes.

Stability: Refrigerated (preferred): 10 days; Frozen: 30 days; Ambient: Unacceptable.

Reject Due To: Gross hemolysis, gross lipemia, heat-inactivated specimen.

Performance

LIS Dept Code
Sendouts Mayo Lab (RF) (MARF)
Performing Location(s)
Sendout Mayo Clinic Laboratories (Superior Drive)
800-533-1710

3050 Superior Drive NW
Rochester, MN 55901

Frequency
Performed: Monday - Friday. Report Available: 1-4 days.
Available STAT?
No

Billing & Coding

CPT codes
86618
LOINC
20449-5
Interfaced Order Code
UOW4246