Measles Antibodies (IgG, IgM), Diagnostic

Test Code
34166


CPT Codes
86765 (x2)

Preferred Specimen
1 mL serum


Minimum Volume
0.5 mL


Transport Container
Plastic screw-cap vial


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 4 days
Refrigerated: 7 days
Frozen: 30 days


Methodology
Immunoassay (IA) • Immunofluorescence Assay (IFA)

Setup Schedule
Set up: Tues-Sat; Report available: Next day


Reference Range
Measles Antibody (IgG)
AU/mLInterpretation
<13.50Negative
13.50-16.49Equivocal
>16.49Positive
The presence of measles IgG suggests immunization or past or current infection with measles virus.

Measles Antibody (IgM)
TiterInterpretation
<1:20Antibody not detected
≥1:20Antibody detected
The traditional serologic diagnosis of measles requires a significant rise in antibody titer between acute and convalescent sera. However, detection of IgM antibody in a single specimen may indicate acute disease.
Correct interpretation of serologic data depends upon the proper timing of specimen collection in relation to rash onset. This timing is particularly important for interpreting negative IgM results, since IgM antibody peaks approximately 10 days after rash onset and is usually undetectable 30 days after rash onset.


Clinical Significance
Measles, also known as Rubeola, causes fever, irritability, respiratory illness, and the characteristic skin rash. Immunization has greatly diminished the incidence of measles. The presence of IgG is consistent with immunity or prior exposure. IgM is consistent with current or recent infection. IgM tests can generate false positive results and low levels of IgM can persist for longer than 12 months.


Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153



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.