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What Tests Should I Get?


We often don't know where to start when ordering tests after being exposed to ticks. Below is a basic list that can help provide you with an overall picture. Links to where/how to order tests are provided for each tick borne disease. Symptoms and treating information are also at the links provided for each disease. Additional information on labs and tests is located here.

TBD Related Testing

Bartonella- insurance usually covers Quest Diagnostic Lab.  
Quest Diagnostics: Bartonella Species Antibody (IGG, IGM) with Reflex to Titers- Code 34251x 
More Bartonella Info

Lyme- Borrelia burgdorferi
IGeneX, Inc.
795 San Antonio Rd
Palo Alto, CA 94303
Phone: 1-800-832-3200 Toll free
Fax: 1-650-424-1196 

PHYSICIANS- IGeneX
To order Physician Specimen Collection Kits

Lyme- Borrelia miymaotoi
IGeneX Lab 
Tests for Borrelia miyamotoi
Other Labs That Test For Borrelia miyamotoi
Quest- YES PCR- CPT Code- 87798

More lab test information HERE.

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The following tests can be ordered as needed (codes and lab names included).  Information about the specific disease, including its symptoms, is at the link provided.


Babesiosis
It is recommended doctors run multiple tests to improve the chance of detecting a Babesia infection. Antibody tests from Quest Lab (includes two strains) and PCR tests from IGeneX Lab in CA for Babesiosis are useful if positive, but a negative result does not rule out the disease. 

Tip- Try to have blood drawn for testing early in the week so it is not delayed in transport and does not sit over the weekend.  

Some advanced experts use indirect laboratory testing such as VEGF, TNF-a, IL-6, IL-1B, ECP, and sudden drops in MSH (LabCorp) or natural killer cell numbers such as CD57, CD56, CD3 and CD4 in response to a malaria or Babesia medication. 

Some feel increased symptoms caused by patients being given low doses of pure Babesia medications is highly suspicious for Babesia.  If someone has an "out-of-range" RDW reading (red-cell distribution width) on a standard CBC blood test, Babesiosis should be suspected.   

More information on Babesiosis

Leptospirosis- suggested for someone exposed to animals

Epstein Barr Virus- often will alert hesitant physicians to a physical problem in the works when they are doubting any actual disease conditions as the source of the problems
Quest

Hepatitis- has unexpectedly been detected in Lyme patients
Quest

Mycoplasma- common infection detected in coinfected patients
Quest

Spotted fevers- increased number of spotted fevers are discovered on a regular basis
Quest

Parvo B19- aka "slapped cheek syndrome" or "fifth's disease"
Quest

Q-Fever- living in rural areas or having animals around can increase the risk of exposure to Q-fever
Quest

Anaplasmosis- symptoms similar to spotted fevers, usually without the rash
Quest

Ehrlichiosis- symptoms similar to spotted fevers, usually without the rash
Quest

Tularemia- aka Rabbit Fever
Quest

Brucelliosis- living in rural areas or having animals around can increase the risk
Quest

Trichinosis-  rural areas, farms, ranches and meat packing plants can increase likelihood of exposure
Quest

Salmonella-  rural areas, farms and ranches can put people at a higher risk for exposure

Histoplasmosis- hunters, barns, livestock and bird sanctuaries can increase risk of exposure
Quest

The Lyme Test Access Program (Lyme-TAP) is a nationwide patient assistance program offered by Ferndale Foundation in coordination with the Lyme Patients Assistance Group to provide assistance for initial Lyme-related lab tests to patients who demonstrate true financial need.









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