Spreadsheet: bc1ac8b9-aa3b-4736-a8b3-a04ccaa9e2fc
Sheet: Sheet1

Test Referenced | Entry Type | Mayo ID | Description | Reporting Description | Method | Collection Container | Temperature | Stability | [NAME] | Unit of Measure | [NAME] | Minimum Volume | Reject Due To | Reference Values | Days/Times Performed | Analytic Time | Maximum Lab Time | CPT Units | CPT Code | LOINC® Code | LOINC® Attributes | Always Performed | Orderable Separately | Performing Location
FBBAB | Test | FBBAB | Lyme Disease Antibody Index for CNS Infection | Lyme Disease Ab for CNS Infection | Enzyme Linked Immunosorbent Assay (ELISA) and Nephelometry ([NAME]) | Varies: Var |  |  | 2 | mL | [NAME] AND CSF   Draw blood in a red-top tube(s) (Serum gel tube is acceptable.)  Spin down and submit 2 mL refrigerate serum.   Collect 2 mL CSF in a sterile plastic vial and submit refrigerate.    Note: 	Serum and CSF must be drawn within 24 hours of each  other. | 1 mL serum AND 1 mL CSF | Specimens other than	Serum and CSF Anticoagulants other than	NA Hemolysis	NA Thawing	NA Lipemia	NA Icteric	NA | Lyme Disease Antibody Index:         < or = 1.0  Negative         1.1 - 1.2     Equivocal         > or = 1.3  Positive        Control Antibody Index: < or = 1.0        [NAME]:  <0.0078        The Lyme Disease Antibody Index is used as an aid for the diagnosis of neuroborreliosis. An increased Lyme Disease Antibody Index (>1.2), accompanied by a Control Antibody Index of less than 1.0 and [NAME] of less than 0.0078, is strong evidence for intrathecal synthesis of organism-specific antibody, and thus CNS [NAME] infection. Elevation of either the control antibody index, [NAME], or both may indicate leakage of antibody across the blood-brain barrier which may falsely elevate the Lyme Disease Antibody Index.   Test Performed by: Focus Diagnostics, Inc.                              5785 Corporate Avenue                              Cypress, CA 90630-4750 | Tuesday and Friday | 1 week | 9 - 16 days |  | Profile |  |  |  |  | Focus Diagnositics, Inc.
FBBAB | [NAME] | SERUM | Serum |  |  |  | Refrigerated | 14 days
FBBAB | [NAME] | CSF | CSF |  |  |  | Refrigerated | 14 days
FBBAB | Billing Component | FBBAB |  | Borrelia burgdorferi |  |  |  |  |  |  |  |  |  |  |  |  |  | 4 | 86618
FBBAB | Billing Component | FBBAB |  | Albumin, Serum |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 82040
FBBAB | Billing Component | FBBAB |  | Gammaglob,IgA,IgD,IgG,IgM |  |  |  |  |  |  |  |  |  |  |  |  |  | 2 | 82784
FBBAB | Billing Component | FBBAB |  | [NAME], Qnt, each |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 82042
FBBAB | Component | FZ003 | Lyme Disease Antibody Index | Lyme Disease Ab Index | Only orderable as part as a profile. For further information see #91309 "Lyme Disease Ab for CNS Infection" |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Yes | No
FZ003 | [NAME] | SERUM | Serum |  |  |  | Refrigerated | 14 days
FZ003 | Result | Z0677 | Lyme Disease Ab Index | Lyme Disease Ab Index | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FZ003 | Result | [NAME] | Control Ab Index | Control Ab Index | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FBBAB | Component | FZ004 | [NAME] | [NAME] | Only orderable as part as a profile. For further information see #91309 "Lyme Disease Ab for CNS Infection" |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Yes | No
FZ004 | [NAME] | CSF | CSF |  |  |  | Refrigerated | 14 days
FZ004 | Result | Z0359 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FZ004 | Result | Z0360 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process