CPT Codes
Updated September 2006
   
Test # Description (Name) CPT Code
MISCELLANEOUS
220

C-Reactive Protein

 86140
 
LYME TESTS (B. burgdorferi)
800

Lyme DOT BLOT Assay (LDA) for antigen*

 87449
802 Lyme DOT BLOT Assay (LDA) — 2 Samples* 87449 X 2
805

Lyme DOT BLOT Assay (LDA) — 3 Samples*

 87449 X 3
 
875 Lyme DOT BLOT and PCR Panel for B. burgdorferi
Includes:
  805 Lyme DOT BLOT Assay (LDA) — 3 Samples* 87449 X 3
  465 Multiplex PCR on the 3 pooled samples 87801 X 2
 
850 Reverse Western Blot for B. burgdorferi
(Performed only on positive LDA samples.
Strongly recommended as a confirmation test.)		 86617
     
170 C6 Peptide-B. burdorferi 86618
183 Lyme Serology IgG/IgM
Serology is performed only in conjunction with Western Blots.		 86618
195 Lyme Serology IgM
Serology is performed only in conjunction with Western Blots.
230 Lyme IgG/IgM/IgA Screen (IFA)* 86618
189 Lyme Western Blot IgG 86617
188 Lyme Western Blot IgM 86617
 
  MULTIPLEX PCR (B. burgdorferi)
456 Whole Blood 87801 X 2
453 Serum 87801 X 2
450 Urine 87801 X 2
465 Urine (Pooled from 3 samples) 87801 X 2
459 Cerebral Spinal Fluid 87801 X 2
462 Miscellaneous (Tissue, Breast Milk, etc) 87801 X 2
 
140 TICK TEST by PCR for B. burgdorferi 87476
 
CENTRAL NERVOUS SYSTEM — (Cerebral Spinal Fluid)
810 Lyme DOT BLOT Assay for CSF* 87449
281 Bartonella henselae for CSF* 87471
 
BARTONELLA henselae TESTS
285 Bartonella henselae IgG/IgM Antibody 86611 x 2
280 Bartonella henselae PCR* - whole blood 87471
283 Bartonella henselae PCR* - serum 87471
290 TICK TEST by PCR for Bartonella henselae 87471
 
BABESIOSIS TESTS
200 Antibody for B. microti (IgG & IgM) 86317 X 2
660 Babesia PCR Screen (B microti and/or WA-1) 87798
640 Babesia FISH (RNA) 88365
710 Antibody for WA-1 (Referral Test)* 86256
660 Babesia PCR Screen (B microti and/or WA-1) 87800, 87801
689 TICK TEST by PCR-Babesia (B microti and/or WA-1) 87798
 
EHRLICHIOSIS TESTS
203 HME (Monocytic) IgG & IgM Antibody 86317 X 2
750 HME PCR 87800, 87801
206 HGE (Granulocytic) IgG & IgM Antibody 86317 X 2
755 HGE PCR 87800, 87801
148 TICK TEST by PCR for Ehrlichia 87798
 
RICKETTSIA
975 TICK TEST by PCR for Rickettsia 87798
 
 

* Not available in New York State

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IGeneX, Inc.
795 San Antonio Rd., Palo Alto, CA USA 94303
Tel. 650.424.1191 / 800.832.3200 Fax. 650.424.1196