Epstein Barr Virus Antibody IgG

Last Modified: 3/25/2019 2:26:54 PM

Medical Necessity Documentation:
Duplicate testing on this test is not acceptable per Medicare:  Testing to only be done every 365 days
Client Notes:  
Patient Preparation:  
Specimen Requirements: 1.0 Serum in a SST Gold Top Tube
Collection Instructions:  
Transport & Storage: Temperature/Stability: 48 hours Refrigerated
30 days Frozen

Specimen to be transported Refrigerated to PRMC within 48 hours of collection to be frozen by Immunology department to maintain specimen integrity until testing occurs. Do not transport Frozen.
Reference Range:
OD ratio < 0.90 indicates no detectable Epstein-Barr Virus IgG antibody.   No evidence of infection or immunity.
OD ratio 0.91 - 1.09 is equivocal for Epstein-Barr Virus IgG antibody. Suggest a new specimen be collected and retested.
OD ratio > 1.10 is positive for Epstein-Barr Virus IgG antibody. In asymptomatic patients, including prenatal screens, a positive value is consistent with previous infection or immunity.
Critical Ranges:  
Test Comments: A single specimen is of limited diagnostic value in documentation of an acute or concurrent infection.
Methodology: EIA
Clinical Significance:  
Custom Panel: No


Days Performed: Thursday
Sites Performed: Parkview Regional Medical Center
PHL Test Code: EBVG
EPIC Test Code: IMO25
Alternate Test Names: EBV IgG; EBV VCA (Viral Capsid Antigen) IgG ; EBV VCA IgG ; Epstein-Barr Virus Antibody IgG
Included Tests:  
CPT Coding: 86665

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