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Specimen Collection Manual and Test Catalog

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VARICELLA-ZOSTER VIRUS IGG ANTIBODY

Geisinger Epic Procedure Code:  LAB3242    Geisinger Epic ID:  15233

SPECIMEN COLLECTION
Specimen type: 

Serum


Preferred collection container: 
Alternate collection container: 
6 mL red-top (plain, non-serum separator) tube
Specimen required: 

0.5 mL serum; minimum 0.2 mL



SPECIMEN PROCESSING
Processing instructions: 

Allow to clot. Centrifuge and submit 0.5 mL serum.


Transport temperature: 

Refrigerated (preferred). Room temperature (stable 8 hours) and frozen specimens also acceptable.


Specimen stability: 

Room temperature: 8 hours. 2-8°C: 96 hours. Frozen: 6 months.


Rejection criteria: 

Specimen stability exceeded; specimen grossly hemolyzed.



TEST DETAILS
Interpretation guide: 
ResultInterpretation
NegativeAbsence of detectable VZV IgG antibodies. A negative result indicates no detectable VZV antibody but does not rule out acute infection. It should be noted that the test usually scores negative in infected persons during the incubation period and the early stages of infection. If exposure to varicella zoster virus is suspected despite a negative finding, a second sample should be collected and tested no less than one or two weeks later.
PositivePresence of detectable VZV IgG antibodies. A positive result generally indicates exposure to the pathogen or administration of specific immunoglobulins, but it is not an indication of active infection or stage of disease.

NOTE: This test is for the qualitative determination of IgG antibodies to varicella zoster virus.


CPT code(s):  86787
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.
The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.

Test includes: 

Varicella zoster antibody IgG detection.


Methodology: 
Chemiluminescence
Synonyms: 

Herpes zoster, VZ, VZV, Varicella zoster IgG Ab, Chicken pox, shingles, Varicella zoster antibody IgG


Clinical significance: 

Varicella zoster (VZ) is a virus of the herpes group that causes chicken pox and when reactivatede in adults causes shingles. The presence of VZ IgG antibody suggests recent or previous infection.


Doctoral Director(s): 
Benjamin Andress, PhD, DABCC
Hoi-Ying Elsie Yu, PhD, DABCC, FADLM
Review Date:  12/05/2024

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