Test Code CMVT CMV, IgG & IgM, Serum
Methodology
Chemiluminescent immunoassay (CLIA)
Specimen Requirements
Preparation of Patient:
None
Specimen Type:
Serum
Container Type:
Gold Top SST Gel & Clot Activator Tube
LIS Container Code = GL
Specimen Volume:
1.0 mL of Serum minimum 400uL of Serum
Specimen Handling/Transport:
Separate serum from cells within 2 hours of collection
For shipping, specimens should be maintained at 2-8°C.
Specimen Stability/Storage:
2 hours ambient
2 days 2-8°C
Aliquoted samples frozen. Do not repeatedly freeze/thaw
Reference Range
Reference Ranges: Negative
Critical Decision Level: None
Result Interpretation: Results are expressed as U/mL
U/mL Value |
Results |
Interpretation |
< 0.60 U/mL |
Negative |
Absence of detectable CMV IgG antibodies. A negative result generally indicates that immunity has not been acquired. If Exposure to CMV is suspected despite a negative finding, a second sample should be collected and tested no less than one or tow weeks later. |
≥ 0.60 U/mL and < 0.70 U/mL |
Equivocal |
The equivocal sample should be repeat tested. In case the result remains in the range after repeat testing, as second sample should be collected. |
≥ 0.70 U/mL |
Positive |
Presence of detectable CMV IgG antibodies. A positive result generally indicates either recent or past exposure to the CMV. |
Reference Ranges: Negative
Critical Decision Level: None
Result Interpretation: Results are expressed as AU/mL
AU/mL Value |
Results |
Interpretation |
< 30.0 AU/mL |
Negative |
Absence of detectable CMV IgM antibodies. A negative result, hower, does not always rule out acute hCMV infection. The IgM response may not be detectable in the very early stage of the infection or if the patient is immunocompromised. If clinical exposure to hCMV is suspected despite a negative finding, a second sample should be collected and tested no less than one or two weeks later. |
≥ 30.0 AU/mL and < 35.0 AU/mL |
Equivocal |
The equivocal sample should be repeat tested. In case the result remains in the range after repeat testing, as second sample should be collected. |
≥ 35.0 AU/mL |
Positive |
Presence of detectable CMV IgM antibodies. A positive result generally indicative of acute infection, reactivation or persistent IgM production. |
Note: The presence of CMV IgM should also be determined to assess the stage of CMV infection. Diagnosis of infectious diseases should not be established on the basis of a single test result, but should be determined in conjunction with clinical findings and other diagnostic procedures as well as in association with medical judgment. Diseases such as Epstein-Barr viral syndrome, toxoplasmosis and hepatitis may cause symptoms similar to CMV infection and must be excluded before confirmation of diagnosis.
Test Classification and CPT Coding
86644
86645
Test Priority & Frequency
Non-Emergent
Monday and Thursday