Test Code BMPCR BABESIA MICROTI DNA, POLYMERASE CHAIN REACTION (PCR), WHOLE BLOOD

Important Note

Tick-Bourne Disease Pathogen Testing Information

Additional Codes

Software	Test Code
Label Text	BMPCR
EPIC	LAB11111

Performing Laboratory

NorDx Laboratories

Useful For

Clinical assay intended to detect the presence of Babesia species in whole blood specimens.
Test was validated for B microti; other species of Babesia are recognized but not identified – send out for species identification to a referral laboratory is available.

Method Name

Polymerase Chain Reaction (PCR)

This assay is a lab developed test established by the NorDx Molecular Pathology Laboratory. This laboratory is certified under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing. This test is used for clinical purposes. It should not be regarded as investigational or for research.

Reference Values

Not Detected

Days and Times Test Performed

Monday and Thursday

Report Available

1 Day

Profile Information

Individual Test Description
BABESIA MICROTI DNA, PCR

Specimen Type

Whole Blood

Preferred Container

Lavender Top Tube (EDTA) – Tube must be full at time of collection.

Specimen Collection and Handling

Send entire tube of EDTA whole blood refrigerated.

Specimen Stability Information

Specimen Type: Whole Blood

Refrigerated: 7 Days

Add On Capable

Yes

Advance Beneficiary Notice Requirements

This test, when ordered on Medicare patients, is subject to the National Coverage Determination (NCD) policies. Please verify that the diagnosis code (ICD code) you have chosen demonstrates medical necessity for the test as documented in the physician’s patient record. The CMS web site is available to assist you with this verification. A properly executed Advance Beneficiary Notice (ABN) must be submitted with the specimen if medical necessity is not demonstrated by the ICD code chosen.

CPT Code Information

CPT Code	CPT Description	CPT Disclaimer
87469	Infectious Agent Detection by Nucleic Acid (DNA or RNA); Babesia microti, amplified probe technique

Performing Laboratory Location