Rickettsia Antibody Panel with Reflex to Titers
Test Summary
Antigen-specific IgG and IgM titers allow rapid diagnosis of infection by organisms within either of the two major groups of Rickettsia. The spotted fever group includes R. rickettsia (Rocky Mountain Spotted Fever) and R. akari (Rickettsial pox). The typhus group includes R. typhi (endemic/murine typhus) and R. prowazekii (epidemic typhus).
Aliases
- N/A
Specimen Collection
Special Instructions
N/A
Preferred Specimen
1 mL serum
Minimum Volume
0.2 mL
Instructions
N/A
Patient Preparation
N/A
Storage
N/A
Transport Temperature
Room temperature
Specimen Stability
- Room temperature: 7 days
- Refrigerated: 14 days
- Frozen: 30 days
Limitations
Even after infection has been treated, positive results may persist. False-positive reactions may occur during pregnancy.
Other Acceptable Specimens
N/A
Unacceptable Specimens
Gross hemolysis • Grossly lipemic
Order Code
RCKAB
EPIC (Premier) Code
LAB3893
Includes
Rickettsia (RMSF) Antibodies (IgG, IgM) with Reflex to Titers
Rickettsia (Typhus Fever) Antibodies (IgG, IgM) with Reflex to Titers
If Rickettsia (RMSF) screen is Detected, IgG or IgM, the appropriate Titer will be performed at an additional charge (CPT code(s) 86757 per titer performed).
If Rickettsia (Typhus Fever) screen is Detected, IgG or IgM, the appropriate Titer will be performed at an additional charge (CPT code(s) 86757 per titer performed).
Rickettsia (Typhus Fever) Antibodies (IgG, IgM) with Reflex to Titers
If Rickettsia (RMSF) screen is Detected, IgG or IgM, the appropriate Titer will be performed at an additional charge (CPT code(s) 86757 per titer performed).
If Rickettsia (Typhus Fever) screen is Detected, IgG or IgM, the appropriate Titer will be performed at an additional charge (CPT code(s) 86757 per titer performed).
CPT Code
- 86757 (x4)
Billing Code
- 670457
- 670749
CPT Statement
Methodology
Immunofluorescence Assay (IFA)
FDA Status
FDA Approved
Physician Attestation of Informed Consent
N/A
Testing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly VA, 20153
14225 Newbrook Drive
Chantilly VA, 20153
Reference Range
| Screen | Titer | |||||
| RMSF IgG | Not detected | <1:64 | ||||
| RMSF IgM | Not detected | <1:64 | ||||
| R. typhi IgG | Not detected | <1:64 | ||||
| R. typhi IgM | Not detected | <1:64 | ||||
Setup Schedule / Expected Turnaround Time
Tuesday - Saturday; Report available: 1 - 4 days
Specimen Collection
Special Instructions
N/A
Preferred Specimen
1 mL serum
Minimum Volume
0.2 mL
Instructions
N/A
Patient Preparation
N/A
Storage
N/A
Transport Temperature
Room temperature
Specimen Stability
- Room temperature: 7 days
- Refrigerated: 14 days
- Frozen: 30 days
Limitations
Even after infection has been treated, positive results may persist. False-positive reactions may occur during pregnancy.
Other Acceptable Specimens
N/A
Unacceptable Specimens
Gross hemolysis • Grossly lipemic
Result Information
Methodology
Immunofluorescence Assay (IFA)
Testing Laboratory
N/A
Reference Range
| Screen | Titer | |||||
| RMSF IgG | Not detected | <1:64 | ||||
| RMSF IgM | Not detected | <1:64 | ||||
| R. typhi IgG | Not detected | <1:64 | ||||
| R. typhi IgM | Not detected | <1:64 | ||||
Setup Schedule / Expected Turnaround Time
Tuesday - Saturday; Report available: 1 - 4 days