Epstein-Barr Virus(EBV) Panel

Test Code
EPBVP (Quest 77922)


Alias/See Also
Epstein-Barr Virus Ab Panel # 5 Quest #77922


Includes
Test Components 8426 Epstein-Barr VirusViralCapsid Antigen (VCA)AB(IgM) 8474 Epstein-Barr VirusViralCapsidAntigen (VCA)AB(IgG) 8564 Epstein-Barr Virus Nuclear Antigen (EBNA) AB (IgG) 15447 Epstein-Barr Virus, Early Antigen D Antibody (IgG)


Preferred Specimen
3.0 - 4.0 mL Serum (minimum 1.2 mL)


Instructions
Stability: Room Temperature: 4 days, Refrigerated: 7 days, Frozen: 30 days


Transport Container
SST or Red top Tube


Transport Temperature
Room Temperature


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross lipemia, gross hemolysis, or icterus.


Clinical Significance
Primary infection by EBV causes infectious mononucleosis, usually a self-limiting disease in children and young adults. Infection with EBV can cause lymphoproliferative disorders, including tumors. VCA-IgM typically appears approximately 4-6 weeks after initial infection and declines to undetectable in 1 month in young children and up to 3 months in others. VCA-IgG appears approximately 10 weeks after initial infection and persists for life. Absence of VCA-IgG typically indicates the patient is susceptible to infection. EBNA is detected during convalescence and high titers persist for life. VCA-IgM positivity in the absence of EBNA suggests the patient has a recent, active infection. Early Antigen D Antibody appears approximately 1 month after infection and typically is transient lasting only 1-2 months. Persistently elevated levels suggest reactivation or persistence of EBV infection. Early Antigen D Antibody appears approximately 1 month after infection and typically is transient lasting only 1-2 months. Persistently elevated levels suggest reactivation or persistence of EBV infection.




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.