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25057 Tick Borne Panel (Does not include Lyme disease testing)

Tick Borne Panel (Does not include Lyme disease testing)
Test Code: TICKP
Synonyms/Keywords
​​​​​Anaplasma phagocytophilum, Babesia microti, Babesiosis, Ehrlichia/Anaplasma
Useful For

- Evaluation of the most common tick-borne diseases found in the United States, including anaplasmosis, ehrlichiosis, and babesiosis.
- Does not include Lyme disease testing.  Order LYMPAN for Lyme disease serology on serum.
- Evaluation of patients with a history of, or suspected, tick exposure who are presenting with fever, myalgia, headache, nausea, and other nonspecific         symptoms.

This panel consists of Real-Time PCR tests for Anaplasma, Ehrlichia, and Babesi microti.  This panel should not be used for screening asymptomatic individuals, and should only be used to test patients with signs and symptoms of E​hrlichiosis, Anaplasmosis and/or Babesiosis.​
Specimen Requirements
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
​No ​Whole Blood EDTA Lavender Top Tube (LTT)​ ​ 3.0 mL​ 3.0 mL 3.0 mL
Collection Processing Instructions
Draw a separate tube for this test. Sample cannot be entered for another test under conditions where cross contamination may occur.​
Specimen Stability Information
Specimen Type Temperature Time​
​Whole Blood EDTA ​ ​Refrigerate 7 days​
Rejection Criteria
Anticoagulants other than EDTA
​Gross Lipemia
​< 3.0 mL​
Performing Laboratory Information

Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation

​Marshfield

 Monday through​ Friday​
4 hours
 Polym​erase Chain Reaction, PCR
Test Information

This test was developed and its performance characteristics determined by Marshfield Labs.  It has not been cleared or approved by the U.S. Food and Drug Administration.  The FDA has determined that such clearance or approval is not necessary.  This test is for clinical purposes.  It should not be regarded as investigational or for research.  This laboratory is certified under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical testing.


Ehrlichia species detected with this assay include: Ehrlichia chaffeensis, Ehrlichia muris subsp. eauclairensis, and E. ewingii.
This assay does not detect Ehrlichia canis. If E. canis is suspected, EPCRB send out to Mayo Laboratories should be requested.

Reference Range Information
Performing Location Reference Range
​Marshfield
​Negative for Babesia microti
Negative for Anaplasma phagocytophilum and Ehrlichia species​
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
​87468
 ​
1
 ​
 ​
​87469
​
​1
​
​
​87484
​
​1
​​
Classification

This test was developed and its performance characteristics determined by Marshfield Labs.  It has not been cleared or approved by the U.S. Food and Drug Administration.  The FDA has determined that such clearance or approval is not necessary.  This test is for clinical purposes.  It should not be regarded as investigational or for research.  This laboratory is certified under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical testing.​

Synonyms/Keywords
​​​​​Anaplasma phagocytophilum, Babesia microti, Babesiosis, Ehrlichia/Anaplasma
Ordering Applications
Ordering Application Description
​Cerner ​Tick Borne Panel w/o Lyme
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
​No ​Whole Blood EDTA Lavender Top Tube (LTT)​ ​ 3.0 mL​ 3.0 mL 3.0 mL
Collection Processing
Draw a separate tube for this test. Sample cannot be entered for another test under conditions where cross contamination may occur.​
Specimen Stability Information
Specimen Type Temperature Time​
​Whole Blood EDTA ​ ​Refrigerate 7 days​
Rejection Criteria
Anticoagulants other than EDTA
​Gross Lipemia
​< 3.0 mL​
Useful For

- Evaluation of the most common tick-borne diseases found in the United States, including anaplasmosis, ehrlichiosis, and babesiosis.
- Does not include Lyme disease testing.  Order LYMPAN for Lyme disease serology on serum.
- Evaluation of patients with a history of, or suspected, tick exposure who are presenting with fever, myalgia, headache, nausea, and other nonspecific         symptoms.

This panel consists of Real-Time PCR tests for Anaplasma, Ehrlichia, and Babesi microti.  This panel should not be used for screening asymptomatic individuals, and should only be used to test patients with signs and symptoms of E​hrlichiosis, Anaplasmosis and/or Babesiosis.​
Reference Range Information
Performing Location Reference Range
​Marshfield
​Negative for Babesia microti
Negative for Anaplasma phagocytophilum and Ehrlichia species​
For more information visit:
Performing Laboratory Information

Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation

​Marshfield

 Monday through​ Friday​
4 hours
 Polym​erase Chain Reaction, PCR
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
​87468
 ​
1
 ​
 ​
​87469
​
​1
​
​
​87484
​
​1
​​
Classification

This test was developed and its performance characteristics determined by Marshfield Labs.  It has not been cleared or approved by the U.S. Food and Drug Administration.  The FDA has determined that such clearance or approval is not necessary.  This test is for clinical purposes.  It should not be regarded as investigational or for research.  This laboratory is certified under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical testing.​

For most current information refer to the Marshfield Laboratory online reference manual.