Skip to main content

Specimen Collection Manual and Test Catalog

  or
  or
  or

EBV VIRAL CAPSID ANTIGEN IGM ANTIBODY

Geisinger Epic Procedure Code:  LAB2231    Geisinger Epic ID:  14932

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) or frozen specimen also acceptable.


Specimen stability: 

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


Rejection criteria: 

Stability exceeded or gross hemolysis.



TEST DETAILS
Interpretation guide: 
ResultInterpretation
NegativeAbsence of detectable VCA IgM antibodies. If exposure to Epstein-Barr virus is suspected despite a negative finding, a second sample should be collected and tested no less than one to two weeks later.
EquivocalSuggest a second sample be collected and tested one to two weeks later.
PositivePresence of detectable VCA IgM antibodies. Specific IgM antibodies are usually detected in patients with recent primary infection and may be found in patients with reactivated infections. Other EBV serology assays should be performed to confirm EBV-associated infectious mononucleosis.

NOTE: This test is for the qualitative determination of IgM antibodies to EBV VCA.


CPT code(s):  86665
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: 

Antibody detection to EBVCA IgM.


Methodology: 
Chemiluminescence
Synonyms: 

EB-IgM, EBV IGM, EBVCAM, Epstein Barr IgM Antibody, Epstein Barr Virus IgM Antibodies to Viral Capsid


Clinical significance: 

Epstein-Barr virus (EBV) is responsible for infectious mononucleosis (IM) and has also been implicated in Burkitt's lymphoma and nasopharyngeal carcinoma. EBV-VCA IgM antibodies typically appear within 4-6 weeks of infection with IM, peak concurrently with clinical onset of the disease, and decline within 2-3 months. A positive EBV-VCA IgM antibody in conjunction with clinical findings is indicative of an active or recent infection.


Doctoral Director(s): 
Benjamin Andress, PhD, DABCC
Hoi-Ying Elsie Yu, PhD, DABCC, FADLM
Review Date:  12/10/2024

Performing Locations