Last Modified:
6/10/2019 7:03:59 AM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
1.0 mL Serum from a Red Top Tube in a Plastic Vial
Collection Instructions:
Minimum Volume:
0.3 mL Serum
Transport & Storage: Temperature/Stability:
7 days Ambient
14 days Refrigerated
30 days Frozen
Rejection Criteria:
Gross hemolysis • Gross lipemia • Cord blood
Reference Range:
| HSV 1 IgM Antibodies IFA |
Not detected |
| HSV 2 IgM Antibodies IFA |
Not detected |
Critical Ranges:
Test Comments:
If HSV 1 IgM screen is positive, HSV 1 IgM Titer will be performed at an additional charge (CPT code(s): 86695).
If HSV 2 IgM Screen is positive, HSV 2 IgM Titer will be performed at an additional charge (CPT code(s): 86696).
Methodology:
Indirect Fluorescent Antibody (IFA)
Clinical Significance:
HSV IgM is detectable in serum from >90% of patients with primary HSV infection; However, HSV IgM is also found in 30% of patients with reactivated HSV.
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
3 to 4 days
Days Performed:
Monday, Tuesday, Wednesday, Thursday, Friday
Sites Performed:
Quest - Chantilly
PHL Test Code:
HSVT
EPIC Test Code:
IMO118
Send Out Test Code:
90849
Alternate Test Names:
Herpes Simplex Virus Serum,Herpes 1/2 IgM
Included Tests:
HSV 1 IgM; HSV 2 IgM
CPT Coding:
86695, 86696
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