3003254
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Borrelia burgdorferi VlsE1/pepC10 Antibodies, Total by ELISA with Reflex to IgG and IgM by Immunoblot

LPEP ACUTE
Example Reports
Negative
Positive

Ordering Recommendation

Reflex test to diagnose Lyme disease in symptomatic individuals. For use ≤4 weeks after symptom onset. Reflex pattern follows the standard two-tier testing (STTT) approach; a positive or equivocal screen is confirmed by immunoblot.
The preferred reflex test is Borrelia burgdorferi VlsE1/pepC10 Antibodies, Total by ELISA With Reflex to IgM and IgG by ELISA (Modified Two-Tier Testing) (3006053).

Methodology

Semi-Quantitative Enzyme-Linked Immunosorbent Assay/Qualitative Immunoblot

Performed

Mon-Fri

Reported

1-4 days

New York DOH Approval Status

This test is New York DOH approved.

Specimen Required

Patient Preparation
Collect

Serum separator tube.

Specimen Preparation

Transfer 2 mL serum to an ARUP Standard Transport Tube. (Min: 0.15 mL)

Storage/Transport Temperature

Refrigerated.

Unacceptable Conditions

Plasma, CSF. Contaminated, heat-inactivated, hemolyzed, icteric, or lipemic specimens.

Remarks
Stability

After separation from cells: Ambient: 48 hours; Refrigerated:10 days; Frozen: 1 month

Reference Interval

Test Number
 Components
 Reference Interval
  B. burgdorferi VlsE1/pepC10 Abs, ELISA 0.90 IV or less

Interpretive Data




Component Interpretation
B. burgdorferi VlsE1/pepC10 Abs, ELISA 0.90 IV or less  Negative - VlsE1 and pepC10 antibodies to B. burgdorferi not detected.
0.91-1.09 IV  Equivocal - Repeat testing in 10-14 days may be helpful.
1.10 IV or greater  Positive - VlsE1 and pepC10 antibodies to B. burgdorferi detected.

Compliance Category

FDA

Note

If VlsE1/pepC10 antibodies by ELISA is 0.91 IV or greater, then IgG and IgM Immunoblot will be added. Additional charges apply.

Hotline History

N/A

CPT Codes

86618; if reflexed, add 86617 x2

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Components

Component Test Code* Component Chart Name LOINC
3003258 B. burgdorferi VlsE1/pepC10 Abs, ELISA 100711-1
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.

Aliases

  • Lyme Disease
  • Lyme Disease C6 Peptide Ab Reflex Panel
  • Lyme Disease VlsE1/pepC10 Ab, ELISA reflex to WB
  • VlsE Lipoprotein, VlsE1/pepC10 Assay
Borrelia burgdorferi VlsE1/pepC10 Antibodies, Total by ELISA with Reflex to IgG and IgM by Immunoblot