Herpes Simplex Virus Types 1 / 2 IgM Antibody with Reflex to Titer

Last Modified: 9/23/2019 4:21:29 PM

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.
Custom Panel: No


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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