Lyme Antibodies - Central Nervous System Infection with Reflex to Index, Serum and CSF (Paired)
Test Catalog Information
| Test Catalog Synonyms | |
| EPIC Synonyms |
LYMEPAIR Lyme Disease AB Pair Index Reflex |
| Cerner Primary Mnemonic | Lyme Disease AB Pair Index Reflex |
| EPIC Display Name | Lyme Antibodies - Central Nervous System Infection with Reflex to Index, Serum and CSF (Paired) |
| Allscripts (AEHR) Order Name | Lyme Disease AB Pair Index Reflex, Serum and CSF |
| Sunrise Clinical Manager (SCM) Order Name | Lyme Disease AB Pair Index with Reflex |
| EPIC Inpatient Orderable | Yes |
| EPIC Outpatient Orderable | Yes |
| Cerner Results |
Lyme CNS Infection IgG, CSF Lyme CNS Infection IgG, S Lyme CNS Infection IgG Interp |
| Clinical Info |
Aiding in the diagnosis of neuroinvasive Lyme disease or neuroborreliosis due to Borrelia species associated with Lyme disease (eg, Borrelia burgdorferi, Borrelia garinii, Borrelia afzelli) Requires CSF and Serum |
| Specimen Type |
Blood, CSF |
| Container |
CSF Tube |
| Collection Instructions |
Both spinal fluid (CSF) and serum are required for this test. CSF and serum must be collected within 24 hours (maximum) of each other. Container/Tube: Sterile Vial (CSF) Gold Top tube (serum) Specimen: 1.2 mL CSF and 1.2 mL serum Transport Temperature: Refrigerated |
| Transport Instructions |
Refrigerated |
| Specimen Stability |
CSF 11 days Refrigerated 35 days Frozen Serum 11 days Refrigerated 35 days Frozen |
| Methodology |
Enzyme-Linked Immunosorbent Assay (ELISA) Testing Algorithm: This test begins with IgG screening of the spinal fluid specimen. If the screen is negative, no additional testing will be performed. If the screen is positive, the paired CSF and serum specimens will be used to establish the antibody index. In order to establish the antibody index, the paired serum and CSF samples (collected within 24 hours of each other) are tested on the same run using quantitative assays to determine levels for the following analytes: 1. Anti-Borrelia species IgG levels in CSF and serum 2. Total IgG in CSF and serum 3. Albumin in CSF and serum These additional tests are necessary in order to normalize the level of anti-Borrelia antibodies to total IgG and albumin in the CSF and establish the antibody index ratio of anti-Borrelia antibodies in CSF-to-serum. This testing is performed at an additional charge. |
| Days Performed |
TAT: 2-5 Days |
| Performing Laboratory |
Mayo Medical Laboratories |
| CPT |
86618 86618 x2 - if applicable 82040 - if applicable 82042- if applicable 82784 x2 - if applicable LOINC Code: 92815-0 |
| PDM |
235308 |
Desired Epic Build Lyme Antibodies - Central Nervous System Infection with Reflex to Index, Serum and CSF (Paired)
| Cerner Primary Mnemonic: | Lyme Disease AB Pair Index Reflex | ||||||||||||
| PDM | 235308 | ||||||||||||
| Informatics - Workgroup | ID Sendouts | ||||||||||||
| Synonyms * | LYMEPAIR Lyme Disease AB Pair Index Reflex | ||||||||||||
| Display Name * | Lyme Antibodies - Central Nervous System Infection with Reflex to Index, Serum and CSF (Paired) | ||||||||||||
| Order Entry Specimen Sources * |
Blood Peripheral
Lumbar Puncture
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| Order Entry Specimen Types |
Blood
CSF
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| Ordering info (EPIC SmartText) | Aiding in the diagnosis of neuroinvasive Lyme disease or neuroborreliosis due to Borrelia species associated with Lyme disease (eg, Borrelia burgdorferi, Borrelia garinii, Borrelia afzelli) Requires CSF and Serum | ||||||||||||
| IP Orderable | Yes | ||||||||||||
| OP Orderable | Yes | ||||||||||||
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AOEs * | |||||||||||||
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| Special History | No | ||||||||||||
| Build Comments | Review with Serology | ||||||||||||
| Filter * | micro | ||||||||||||
| Procedure Category Change | LAB MICROBIOLOGY - GENERAL ORDERABLES | ||||||||||||
Cerner Results
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Actual Epic build
| Procedure Id | 135352 | ||||||||||||||||||||||||
| Pdm | 235308 | ||||||||||||||||||||||||
| Order Display Name | Lyme Antibodies - Central Nervous System Infection with Reflex to Index, Serum and CSF (Paired) | ||||||||||||||||||||||||
| Procedure Name | LYME DISEASE AB PAIR INDEX REFLEX | ||||||||||||||||||||||||
| Procedure Master Number | LAB12059 | ||||||||||||||||||||||||
| Short Procedure Name | LYME DISEASE AB PAIR INDEX REFLEX | ||||||||||||||||||||||||
| Category Code | 4.0 | ||||||||||||||||||||||||
| Category Code Record Name | LAB MICROBIOLOGY - GENERAL ORDERABLES | ||||||||||||||||||||||||
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| Clinically Active | Yes | ||||||||||||||||||||||||
| Orderable | Yes | ||||||||||||||||||||||||
| Performable | Yes | ||||||||||||||||||||||||
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| Reference Link Url | https://labs.northwell.edu/epic/test/135352 | ||||||||||||||||||||||||
| Ordering Instructions | |||||||||||||||||||||||||
| Default Specimen Type | Blood | ||||||||||||||||||||||||
| Specimen Type Pick List | Blood Cerebrospinal Fluid | ||||||||||||||||||||||||
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| Specimen Source Pick List | Blood, Arterial Blood, Capillary Blood, Central Line Blood, Venous Cerebrospinal Fluid, Ventricular CSF Reservoir | ||||||||||||||||||||||||
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| Ip Orderable | 1 | ||||||||||||||||||||||||
| Op Orderable | 1 | ||||||||||||||||||||||||
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EPIC Components (results)
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