Epstein Barr Virus Basic Panel

Last Modified: 3/25/2019 2:28:00 PM


Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 2.0 Serum in a SST Gold Top Tube
Collection Instructions:  
Minimum Volume: 1.0 mL Serum
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:

EBV IgG: 
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.

EBV IgM: 
OD ratio < 0.90 indicates no detectable Epstein-Barr Virus, IgM antibody.
OD ratio 0.91 - 1.09 are equivocal for Epstein-Barr Virus IgM antibody, Suggest a new specimen be collected and retested.
OD ratio > 1.10 is positive for Epstein-Barr Virus IgM antibody. A positive value indicates a primary or reactivated infection

Critical Ranges:  
Test Comments:  
Methodology: EIA
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Turn Around Time: 7 days
Days Performed: Thursday
Sites Performed: Parkview Regional Medical Center
PHL Test Code: EBVB
EPIC Test Code: IMO24
Alternate Test Names: EBV Basic Panel; Epstein-Barr Virus Basic Panel
Included Tests: Epstein-Barr Virus Antibody IgG; Epstein-Barr Virus Antibody IgM
CPT Coding: 86665 x 2

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