Epstein-Barr Virus, Antibody Panel

Message
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Test Code
EBVPAN


Alias/See Also
6421;
EBV Comprehensive;
EBV Panel;
EBV Profile;
EBV Titers;
EBV Screen;
Epstein Barr Titers;


CPT Codes
86664;86665(2)

Includes
Includes: Epstein-Barr Virus VCA IgG Antibody(8474), Epstein-Barr Virus VCS IgM Antibody(8426), Epstein-Barr Virus Nuclear Antigen (EBNA) Antibody(8564)


Preferred Specimen
2 mL serum (minimum 0.5 mL) 


Instructions
SST or Red top: Avoid hemolysis. Invert a minimum of 5 times, then allow to clot in an upright position for 30 minutes. Centrifuge the the tube for at least 10 minutes. Keep tightly stoppered.


Transport Container
SST (speckled top), Red top , Plastic Vial (transfer) tube


Transport Temperature
Refrigerated (preferred)


Specimen Stability
Room Temperature = n/a
Refrigerated = 5 days
Frozen = at least 7 days


Methodology
Immunoassay

Setup Schedule
Monday, Wednesday, Friday
BS


Report Available
3 days


Clinical Significance
The Epstein-Barr Virus (EBV) is the causative agent of Infectious Mononucleosis (IM). IM is an acute illness characterized clinically by sore throat, fever and lymphadenopathy. In children, 5-10% of primary EBV infections are asymptomatic. By adulthood, 90-95% of most populations have demonstrable EBV antibodies. EBV-specific serodiagnostic tests are not usually needed in typical cases of IM, since 90% of the cases are heterophile-positive. For heterophile-negative cases and for diagnosis in atypical cases, confirmation of infection by EBV-specific serology is useful. The serodiagnosis of IM is established with a single acute phase serum by the detection of elevated levels of IgM and IgG antibodies to Viral Capsid Antigen (VCA). Antibody conversion or decline in VCA-IgM antibodies (they usually disappear within 3-6 weeks after onset) and the emergence of EBNA antibodies (they arise from 3 weeks to several months after onset) can confirm diagnosis. Previous EBV infections are identified by IgG antibodies  to VCA and to EBNA.


Performing Laboratory
CompuNet Clinical Laboratories, LLC
2308 Sandridge Drive
Moraine, OH 45439


Last Updated: December 7, 2021


The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.