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Bartonella Species Antibodies (IgG, IgM) with Reflex to Titer [34251X]

Test Code

144002

CPT Code(s)

86611 (x4)

Includes

Bartonella henselae IgG, IgM; Bartonella quintana IgG, IgM.

If B. henselae (IgG) screen is positive, the B. henselae (IgG) titer will be performed at an additional charge (CPT code(s): 86611).
If B. quintana (IgG) screen is positive, the B. quintana (IgG) titer will be performed at an additional charge (CPT code(s): 86611).
If B. henselae (IgM) screen is positive, the B. henselae (IgM) titer will be performed at an additional charge (CPT code(s): 86611).
If B. quintana (IgM) screen is positive, the B. quintana (IgM) titer will be performed at an additional charge (CPT code(s): 86611).

Preferred Specimen(s)

1 mL serum

Minimum Volume

0.2 mL

Specimen Container

Plastic screw-cap vial

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

Room temperature: 4 days
Refrigerated: 5 days
Frozen: 30 days

Methodology

Immunofluorescence Assay (IFA)

This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics Nichols Institute, Chantilly, VA. 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 assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Performing Laboratory

Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153

Setup Schedule

Set up: Tues-Sat a.m.; Report available: Next day

Limitations

B. quintana and B. henselae as well as chlamydia species and Coxiella burnetii may cross-react and produce false-positive results.

Reference Range(s)

B. henselae IgG Screen Negative
B. henselae IgG Titer <1:64
B. henselae IgM Screen Negative
B. henselae IgM Titer <1:20
B. quintana IgG Screen Negative
B. quintana IgG Titer <1:64
B. quintana IgM Screen Negative
B. quintana IgM Titer <1:20

Clinical Significance

Bartonella. henselae infections have been associated with many clinical presentations, including cat scratch disease, bacillary angiomatosis, peliosis hepatis, and bacteremia. B. quintana infections have been associated with trench fever and bacillary angiomatosis.

LOINC®' Code(s)

The Result and LOINC information listed below should not be used for electronic interface maintenance with Quest Diagnostics. Please contact the Quest Diagnostics Connectivity Help Desk for more information at 800-697-9302.

NOTE: The codes listed in the table below are not orderable Test Codes.

Result
Code
Result NameLOINC CodeComponent Name
144012B. henselae IgG Screen32575-3Bartonella henselae Ab.IgG
144032B. quintana IgG Screen32577-9Bartonella quintana Ab.IgG
144042B. henselae IgM Screen32576-1Bartonella henselae Ab.IgM
144052B. quintana IgM Screen32578-7Bartonella quintana Ab.IgM

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

LOINC assignment is based on a combination of test attributes, including the method used by the performing laboratory. For tests not performed by Quest Diagnostics, codes are assigned by the performing laboratory.

* The tests listed by specialist are a select group of tests offered. For a complete list of Quest Diagnostics tests, please refer to our Directory of Services.