December 2012 - Monthly Update, Focus Diagnostics, Incorporated

December 2012 - Monthly Update, Focus Diagnostics, Incorporated
NEW TESTS
Please Note: Not all test codes assigned to each assay are listed in the table of contents.
Please refer to the complete listing on the page numbers indicated.
Test Code Test Name Effective Date Page #
91307 Echinococcus Antibody (IgG), EIA with Reflex to Western Blot 1/21/2013 1
TEST CHANGES
Please Note: Not all test codes assigned to each assay are listed in the table of contents.
Please refer to the complete listing on the page numbers indicated.
Test Code Former Test Code Test Name Effective Date Page #
4112 20486 FTA-ABS 1/21/2013 2
30793 40605 Legionella pneumophila Antibodies (IgM) 1/21/2013 2
34256 40695 Measles Antibody (IgM) 1/21/2013 3
36565 40715 Mumps Virus Antibody (IgM) 1/21/2013 4
37071 40795 Q Fever (Coxiella burnetii) Antibodies (IgG, IgM) with Reflex to Titers 1/21/2013 4
6419 40855 Rickettsia (RMSF) Antibodies (IgG, IgM) with Reflex to Titers 1/21/2013 5
37503 41000 Rickettsia (Typhus Fever) Antibodies (IgG, IgM) with Reflex to Titers 1/21/2013 6
37507 40840 Rickettsia Antibody Panel with Reflex to Titers 1/21/2013 6
37478 4080 Rickettsial Disease Panel 1/21/2013 6
36126 RPR (Diagnosis) with Reflex to Titer and Confirmatory Testing 1/21/2013 7
799 RPR (Monitor) with Reflex to Titer 1/21/2013 7
15260 40835 Streptozyme Screen with Reflex to Titer 1/21/2013 8
653 Treponema pallidum Ab, Particle Agglutination 1/21/2013 9
4128 60482 VDRL, CSF 1/21/2013 9
30509 20482 VDRL, Serum 1/21/2013 9
DISCONTINUED TESTS
Please Note: Not all test codes assigned to each assay are listed in the table of contents.
Please refer to the complete listing on the page numbers indicated.
Test Code Test Name Effective Date Page #
40430 Echinococcus Antibody (IgG) 1/21/2013 10
40800 Q Fever (Coxiella burnetti) IgG with Reflex to Titers 1/21/2013 10
40805 Q Fever (Coxiella burnetti) IgM with Reflex to Titers 1/21/2013 10
New Test Offerings
The following test will be available through Focus Diagnostics, Inc. on the dates indicated below.
Echinococcus Antibody (IgG), EIA with Reflex to Western Blot
Clinical Significance
Echinococcus IgG detection is an important tool for diagnosing hydatid disease, since infected individuals do not exhibit
fecal shedding of E. granulosus eggs.
Effective Date 1/21/2013
Test Code 91307
CPT Codes 86682
Specimen Requirements
1 mL serum collected in a red-top tube (no gel) (0.2 mL minimum)
Page 1 of 10
The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor
being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.

December 2012 - Monthly Update, Focus Diagnostics, Incorporated
Transport Temperature
Specimen Stability
Set-up/Analytic Time
Reference Range
Always Message
Room temperature
Room temperature: 7 days
Refrigerated: 14 days
Frozen: 30 days
Set up: Tues, Fri; Report available: 1-5 days
Negative
REFERENCE RANGE: NEGATIVE
Detection of serum antibodies to Echinococcus plays an important role in the diagnosis of hydatid
disease, since infected individuals do not exhibit fecal shedding of Echinococcus eggs. Serum antibodies
may remain detectable for years after cyst removal. Serologic crossreactivity between Echinococcus and
Cysticercus may occur.
Methodology
CPU Mappings
Immunoassay
Result Code
Result Name
913071 Echinococcus IgG, EIA
This is a true reflex. Please build the unit codes below separately.Non-Orderable Reflex 913071
Echinococcus Antibody (IgG), Western Blot
Result Code
Result Name
9130710 Echinococcus IgG, WB
Additional Information
If the Echinococcus IgG result is Positive, then the Echinococcus Ab (IgG), Western Blot will be performed
at an additional charge (CPT code: 86682).
Test Changes
FTA-ABS
Effective Date 1/21/2013
Former Test Name
Treponema pallidum Antibody, IFA (Serum)
Former Test Code 20486
Test Code 4112
Specimen Requirements
Reject Criteria
Transport Temperature
Specimen Stability
Set-up/Analytic Time
Always Message
CPU Mappings
1 mL serum (0.2 mL minimum)
Gross hemolysis; gross lipemia
Room temperature
Room temperature: 7 days
Refrigerated: 14 days
Frozen: 30 days
Set up: Mon-Fri; Report available; 1-4 days
Remove current Always Message
Result Code
Result Name
40010300 FTA-ABS
Page 2 of 10

December 2012 - Monthly Update, Focus Diagnostics, Incorporated
Legionella pneumophila Antibodies (IgM)
Effective Date 1/21/2013
Former Test Name
Legionella pneumophila Antibody (IgM), IFA
Former Test Code 40605
Test Code 30793
CPT Codes
Transport Temperature
Specimen Stability
Set-up/Analytic Time
86713 (x2)
Room temperature
Room temperature: 7 days
Refrigerated: 14 days
Frozen: 30 days
Set up: Mon-Fri; Report available: 1-4 days
Reference Range Reference Range:

December 2012 - Monthly Update, Focus Diagnostics, Incorporated
Assay Category ASR Class 1
and convalescent sera. However, detection of IgM antibody in a single specimen may indicate acute
disease. Correct interpretation of serologic data depends upon the proper timing of specimen collection
in relation to rash onset.
This timing is particularly important for interpreting negative IgM results, since IgM antibody peaks
approximately 10 days after rash onset and is usually undetectable 30 days after rash onset.
This assay was developed and its performance characteristics have been determined by Focus
Diagnostics. 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. Performance characteristics refer to the
analytical performance of the test.
CPU Mappings
Result Code
Result Name
70035550 Measles Antibody, IgM
Mumps Virus Antibody (IgM)
Effective Date 1/21/2013
Former Test Name
MUMPS IgM ANTIBODY, IFA (SERUM)
Former Test Code 40715
Test Code 36565
Specimen Requirements
Reject Criteria
Transport Temperature
Specimen Stability
Set-up/Analytic Time
CPU Mappings
1 mL serum (0.2 mL minimum)
Gross Hemolysis, gross lipemia
Room temperature
Room temperature: 7 days
Refrigerated: 14 days
Frozen: 30 days
Set up: Mon-Fri; Report available: 1-4 days
Result Code
Result Name
70056200 Mumps Virus Antibody IgM
Q Fever (Coxiella burnetii) Antibodies (IgG, IgM) with Reflex to Titers
Effective Date 1/21/2013
Former Test Code 40795
Test Code 37071
Set-up/Analytic Time
CPU Mappings
Set up: Mon- Fri; Report: 1-4 days
Non orderable TC 38505 Q Fever IgG Phase I Screen
Result Code
Result Name
85995406 Q Fever IgG Phase I Scr
Non orderable TC 38507 Q Fever IgG Phase II Screen
Result Code
Result Name
85995408 Q Fever IgG Phase II Scr
Non orderable TC 38509 Q Fever IgM Phase I Screen
Result Code
Result Name
85995410 Q Fever IgM Phase I Scr
Page 4 of 10

December 2012 - Monthly Update, Focus Diagnostics, Incorporated
Non orderable TC 38511 Q Fever IgM Phase II Screen
Result Code
Result Name
85995412 Q Fever IgM Phase II Scr
This is a true reflex. Please build the unit codes below separately. Non Orderable Reflex 38506 Q Fever
IgG Phase I Titer
Result Code
Result Name
85995407 Q Fever IgG Phase I Titer
Non Orderable Reflex 38508 Q Fever IgG Phase II Titer
Result Code
Result Name
85995409 Q Fever IgG Phase II Titer
Non Orderable Reflex 38510 Q Fever IgM Phase I Titer
Result Code
Result Name
85995411 Q Fever IgM Phase I Titer
Non Orderable Reflex 38512 Q Fever IgM Phase II Titer
Result Code
Result Name
85995413 Q Fever IgM Phase II Titer
Additional Information
If the Q Fever screen is Positive, IgG or IgM Phase I or Phase II then the appropriate Titer will be performed at an
additional charge (CPT code(s): 86638 per titer).
Rickettsia (RMSF) Antibodies (IgG, IgM) with Reflex to Titers
Effective Date 1/21/2013
Former Test Code 40855
Test Code 6419
Reject Criteria
Set-up/Analytic Time
Always Message
CPU Mappings
Gross hemolysis; gross lipemia
Set up; Mon-Fri; Report available: 1-4 days
Remove current Always Message
6419 Rickettsia (RMSF) Antibodies (IgG, IgM) with Reflex to Titers
Result Code
Result Name
70025900 RMSF IgG
70035700 RMSF IgM
This is a true reflex. Please build the unit codes below separately. Non-Orderable Reflex 64192 RMSF
Antibody Titer, IgG
Result Code
Result Name
70025906 RMSF IgG Titer
This is a true reflex. Please build the unit codes below separately. Non-Orderable Reflex 64193 RMSF
Antibody Titer, IgM
Result Code
Result Name
70035706 RMSF IgM Titer
Page 5 of 10

December 2012 - Monthly Update, Focus Diagnostics, Incorporated
Additional Information
If the Rickettsia (RMSF) screen is Detected, IgG or IgM, then the appropriate Titer will be performed at an additional
charge (CPT code(s) 86757 per titer).
Rickettsia (Typhus Fever) Antibodies (IgG, IgM) with Reflex to Titers
Effective Date 1/21/2013
Former Test Code 41000
Test Code 37503
Reject Criteria
Set-up/Analytic Time
Always Message
CPU Mappings
Gross hemolysis; gross lipemia
Set up: Mon-Fri; Report available: 1-4 days
Remove current Always Message
37503 Rickettsia (Typhus Fever) Antibodies (IgG, IgM) with Reflex to Titers
Reporting Title: RICKETT (TYPHUS) AB W/RFL
Result Code
Result Name
70026000 R. typhi IgG
70026040 R. typhi IgM
This is a true reflex. Please build the unit codes below separately. Non-Orderable Reflex 375032 R. Typhi
IgG Titer
Result Code
Result Name
70026021 R. typhi IgG Titer
This is a true reflex. Please build the unit codes below separately. Non-Orderable Reflex 375033 R. Typhi
IgM Titer
Result Code
Result Name
70026071 R. typhi IgM Titer
Additional Information
If the Rickettsia (Typhus Fever) screen is Detected, IgG or IgM, then the appropriate Titer will be performed at an
additional charge (CPT code(s) 86757 per titer)
Rickettsia Antibody Panel with Reflex to Titers
Effective Date 1/21/2013
Former Test Code 40840
Test Code 37507
Reject Criteria
Set-up/Analytic Time
Always Message
CPU Mappings
Additional Information
Gross hemolysis; gross lipemia
Set up: Mon-Fri; Report available: 1-4 days
Remove current Always Message
See individual mapping for test codes:
6419 Rickettsia (RMSF) Antibodies (IgG, IgM) with Reflex to Titers
37503 Rickettsia (Typhus Fever) Antibodies (IgG, IgM) with Reflex to Titers
If the Rickettsia (RMSF) screen is Detected, IgG or IgM, then the appropriate Titer will be performed at an additional
charge (CPT code(s) 86757 per titer).
If the Rickettsia (Typhus Fever) screen is Detected, IgG or IgM, then the appropriate Titer will be performed at an
additional charge (CPT code(s) 86757 per titer)
Page 6 of 10

December 2012 - Monthly Update, Focus Diagnostics, Incorporated
Rickettsial Disease Panel
Effective Date 1/21/2013
Former Test Name
RICKETTSIA AND COXIELLA BURNETII ANTIBODY PANEL
Former Test Code 4080
Test Code 37478
Specimen Requirements
Reject Criteria
Set-up/Analytic Time
Always Message
CPU Mappings
Additional Information
2 mL serum (0.5 mL minimum)
Gross hemolysis; gross lipemia
Set up: Mon-Fri; Report available: 1-4 days
Remove current Always Message
See individual mapping for test codes:
6419 Rickettsia (RMSF) Antibodies (IgG, IgM) with Reflex to Titers
37503 Rickettsia (Typhus Fever) Antibodies (IgG, IgM) with Reflex to Titers
Non orderable TC 38505 - Q Fever IgG Phase I Screen
Non orderable TC 38507 - Q Fever IgG Phase II Screen
Non orderable TC 38509 - Q Fever IgM Phase I Screen
Non orderable TC 38511 - Q Fever IgM Phase II Screen
If the Rickettsia (RMSF) screen is Detected, IgG or IgM, then the appropriate Titer will be performed at an additional
charge (CPT code(s) 86757 per titer).
If the Rickettsia (Typhus Fever) screen is Detected, IgG or IgM, then the appropriate Titer will be performed at an
additional charge (CPT code(s) 86757 per titer)
If the Q Fever screen is Positive, IgG or IgM Phase I or Phase II then the appropriate Titer will be performed at an
additional charge (CPT code(s) 86638 per titer).
RPR (Diagnosis) with Reflex to Titer and Confirmatory Testing
Effective Date 1/21/2013
Test Code 36126
Reject Criteria
Transport Temperature
Set-up/Analytic Time
Always Message
Methodology
CPU Mappings
Gross hemolysis; gross lipemia
Room temperature
Set Up; Tues-Sat; Report available: 1-5 days
The RPR is a non-treponemal-specific test; therefore, a treponemal-specific confirmatory test should be
performed unless prior syphilis infection has been documented for this patient.
Flocculation
36126 RPR (Diagnosis) with Reflex to Titer and Confirmatory Testing
Reporting Title: RPR (DIAG) W/RFL TTR CONF
Result Code
Result Name
86007407 RPR Screen
This is a true reflex. Please build the unit codes below separately. Non-Orderable Reflex 361262 RPR
Titer
Result Code
Result Name
86007408 RPR Titer
This is a true reflex. Please build the unit codes below separately. Non-Orderable Reflex 361263 FTA,
Confirmatory Testing
Result Code
Result Name
40010300 FTA-ABS
Page 7 of 10

December 2012 - Monthly Update, Focus Diagnostics, Incorporated
Additional Information
If the RPR Screen is “Reactive” then the RPR Titer and FTA Confirmatory Testing will be performed at
additional charges (CPT code(s) 86593 and 86780).
RPR (Monitor) with Reflex to Titer
Effective Date 1/21/2013
Test Code 799
Reject Criteria
Transport Temperature
Set-up/Analytic Time
Always Message
Methodology
CPU Mappings
Gross hemolysis; gross lipemia
Room temperature
Set up: Tues-Sat; Report available: 1-5 days
The RPR is a non-treponemal-specific test; therefore, a treponemal-specific confirmatory test should be
performed unless prior syphilis infection has been documented for this patient.
Flocculation
799 RPR (Monitor) with Reflex to Titer
Reporting Title: RPR (MONITOR) W/RFL TITER
Result Code
Result Name
86007407 RPR Screen
This is a true reflex. Please build the unit codes below separately. Non-Orderable Reflex 7992 RPR Titer
Result Code
Result Name
86007408 RPR Titer
Additional Information
If the RPR Screen is Reactive, then the RPR Titer will be performed at an additional charge (CPT code
86593).
Streptozyme Screen with Reflex to Titer
Effective Date 1/21/2013
Former Test Code 40835
Test Code 15260
Specimen Requirements
Set-up/Analytic Time
Reference Range
Methodology
CPU Mappings
1 mL serum (0.2 mL minimum)
Plasma is no longer acceptable
Remove current collection instructions
Set up: Mon-Fri; Report available: 1-4 days
Screen: Negative
Titer: < 1:100 titer
Slide Hemagglutination
15260 Streptozyme Screen with Reflex to Titer
Reporting Title: STREPTOZYME SCR W/RFL TITER
Result Code
Result Name
40039405 Streptozyme Screen
This is a true reflex. Please build the unit codes below separately. Non-Orderable Reflex 152602
Streptozyme Titer
Result Code
Result Name
Page 8 of 10

December 2012 - Monthly Update, Focus Diagnostics, Incorporated
40039410
Streptozyme Titer
Additional Information
If the Streptozyme Screen is “Positive” then the Streptozyme Titer will be performed at an additional
charge (CPT code 86406).
Treponema pallidum Ab, Particle Agglutination
Effective Date 1/21/2013
Test Code 653
Reject Criteria
Set-up/Analytic Time
CPU Mappings
Hemolysis; lipemia; plasma; CSF
Set up: Tue, Fri; Report available: 1-5 days
Reporting Title: TREPONEMA PALLIDUM AB
Result Code
Result Name
86001191 T pallidum Ab (TP-PA)
VDRL, CSF
Effective Date 1/21/2013
Former Test Name
VDRL, (CSF)
Former Test Code 60482
Test Code 4128
Specimen Requirements
Reject Criteria
Transport Temperature
Specimen Stability
Set-up/Analytic Time
Always Message
Methodology
CPU Mappings
1 mL CSF (0.2 mL minimum)
Hemolysis; lipemia
Refrigerated
Room temperature: 4 days
Refrigerated; 14 days
Frozen: 6 months
Set up: Mon-Fri; Report available: 1-4 days
Remove current Always Message
Slide Micro-Flocculation
Result Code
Result Name
40010700 VDRL, CSF
VDRL, Serum
Effective Date 1/21/2013
Former Test Name
VDRL, (Serum)
Former Test Code 20482
Test Code 30509
Specimen Requirements
Set-up/Analytic Time
Always Message
1 mL serum (0.5 mL minimum)
Set up: Mon-Fri; Report available: 1-4 days
The VDRL is a non-treponemal-specific test; therefore, a treponemal-specific confirmatory test should
be performed unless prior syphilis infection has been documented for this patient.
Page 9 of 10

December 2012 - Monthly Update, Focus Diagnostics, Incorporated
Methodology
CPU Mappings
Slide Micro-Flocculation
Result Code
Result Name
40015710 VDRL, Serum
Discontinued Tests
Echinococcus Antibody (IgG)
Effective Date 1/21/2013
Test Code 40430
Additional Information
The recommended alternative is:
●
91307 Echinococcus Antibody (IgG), EIA with Reflex to Western Blot
Q Fever (Coxiella burnetti) IgG with Reflex to Titers
Effective Date 1/21/2013
Test Code 40800
Additional Information
The recommended alternative is:
●
37071 Q Fever (Coxiella burnetii) Antibodies (IgG, IgM) with Reflex to Titers
Q Fever (Coxiella burnetti) IgM with Reflex to Titers
Effective Date 1/21/2013
Test Code 40805
Additional Information
The recommended alternative is:
●
37071 Q Fever (Coxiella burnetii) Antibodies (IgG, IgM) with Reflex to Titers
Page 10 of 10
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