Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
1.0 mL Serum from a Red Top Tube in a Plastic Vial
Collection Instructions:
Minimum Volume:
0.2 mL Serum
Transport & Storage: Temperature/Stability:
7 days Ambient (transport)
14 days Refrigerated
30 days Frozen
Rejection Criteria:
gross hemolysis, grossly lipemic, grossly icteric
Reference Range:
B. henselae (IgG) Screen |
Negative |
B. quintana (IgG) Screen |
Negative |
B. henselae (IgM) Screen |
Negative |
B. quintana (IgM) Screen |
Negative |
Critical Ranges:
Test Comments:
B. quintana and B. henselae as well as chlamydia species and Coxiella burnetii may cross-react and produce false-positive results
If B. henselae (IgG) screen is positive, then B. henselae (IgG) titer will be performed at an additional charge (CPT code(s): 86611).
If B. quintana (IgG) screen is positive, then B. quintana (IgG) titer will be performed at an additional charge (CPT code(s): 86611).
If B. henselae (IgM) screen is positive, then B. henselae (IgM) titer will be performed at an additional charge (CPT code(s): 86611).
If B. quintana (IgM) screen is positive, then B. quintana (IgM) titer will be performed at an additional charge (CPT code(s): 86611).
Methodology:
Immunofluorescence Assay (IFA)
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.
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
1 to 2 days
Days Performed:
Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Quest - Chantilly
PHL Test Code:
BARP
EPIC Test Code:
LAB785
Send Out Test Code:
34251
Alternate Test Names:
Bartonella Antibody Panel, IFA; Bartonella Species Ab (IgG, IgM) w/Reflex to Titer; Cat Scratch Fever
Included Tests:
Bartonella IgG hensela Ab; Bartonella IgG qunitana; Bartonella IgM hensela Ab; Bartonella IgM qunitana;
CPT Coding:
86611 x 4