Bartonella Species Ab w/Reflex to Titers

Overview

  • EPIC Code:
  • LAB785
  • Soft Test Code:
  • BARP
  • Send Out Test Code:
  • 34251
Alternate 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; 


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.


Specimen Collection & Preparation

Specimen Requirements

1.0 mL Serum from a Red Top Tube in a Plastic Vial


Alternate Specimen

1.0 mL Serum in a SST Gold Top Tube poured into plastic vial


TransportAndStorage

7 days Ambient (transport)
14 days Refrigerated
30 days Frozen


Collection Instructions

 


Minimum Volume

0.2 mL Serum


Neonatal Volumne

Clinical Interpretation

Reference Range:

B. henselae (IgG) Screen Negative
B. quintana (IgG) Screen Negative
B. henselae (IgM) Screen Negative
B. quintana (IgM) Screen Negative


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.


Production Schedule

Sites Performed
  • Quest - Chantilly
Days Performed
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Departments
  • Sendouts - Clinical
Turn Around Time

1 to 2 days


Coding & Compliance

CPT Coding

86611 x 4