MONOSPOT W REFLEX EBV PANEL

Message

Rapid Heterophile Antibody Tests for infectious Mononucleosis with reflex to Epstein-Barr Virus Antibody Panel (EBV) if test result is negative.

Test Code

MONOSEBV

Alias/See Also

Rapid Heterophile Antibody Test with reflex to Epstein Barr Virus

CPT Codes
86308. If positive add 86663, 86664,86665(x2)

Includes

Monospot. If Negative an Ebstein-Barr Virus (EBV) panel will be added. This includes EBV Nuclear Antigen IgG antibody, EBV Viral Capsid IgG antibody, EBV Viral Capsid IgM antibody, and EBV Early antigen IgG antibody.

Preferred Specimen

4 mL serum

Minimum Volume

2 mL serium

Other Acceptable Specimens

Serum collected with or with out gel is acceptable
Gold SST

Tiger top

Red top

Specimen Stability

For serum, blood should be allowed to clot at room temperature (18°-24°C) and then centrifuged at 1500 x g for ten minutes at room temperature. The serum should be separated as soon as possible and may be tested immediately. Refrigerated: Refrigerate all specimens at 2°-8°C until ready for testing. Stable 24 hours. Frozen: If testing is anticipated after 24 hours, separate plasma and freeze at or below -20°.

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Samples not labeled with complete first, last name and date of birth.
Heavily hemolyzed blood

Methodology
Monoscreen: Immunochromatographic Epstein Barr component testing : Chemiluminescence

Setup Schedule

Monoscreen set up same day.
Epstein Barr component set up M,W,F

Report Available

Mono screen set up same day.
Epstein Barr component report available day after set up.

Clinical Significance

Mono Test qualitatively detects infectious mononucleosis antibodies in human serum specimens. This test is intended for use as an aid in diagnosis of infectious mononucleosis. Includes viral capsid antigens (VCA), IgG and IgM and Epstein-Barr nuclear antigen (EBNA). These tests are recommended only when a screening procedure is negative and infectious mononucleosis still is suspected.

Performing Laboratory
Monoscreen performed by: Frederick Health Laboratory 400 W 7th Street Frederick, MD. 21701 Epstein Barr testing Meritus Medical Laboratory 11110 Medical Campus Dr Hagerstown MD 21742

Last Updated: November 28, 2023

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.