Encephalitis Panel with Reflex to Herpes Simplex Virus Types 1 and 2 Glycoprotein G-Specific Antibodies, IgG, CSF
Ordering Recommendation
Molecular testing is preferred for patients presenting with meningitis/encephalitis. Refer to Meningitis/Encephalitis Panel by PCR (2013305).
Mnemonic
Methodology
Semi-Quantitative Enzyme-Linked Immunosorbent Assay/Semi-Quantitative Chemiluminescent Immunoassay
Performed
Sun-Sat
Reported
4-6 days
New York DOH Approval Status
Specimen Required
CSF.
Transfer 3 mL CSF to an ARUP Standard Transport Tube. (Min: 1.05 mL)
Refrigerated.
Serum or plasma. Contaminated, heat-inactivated, or hemolyzed specimens.
Ambient: 8 hours; Refrigerated: 2 weeks; Frozen: 1 year
Reference Interval
Test Number |
Components |
Reference Interval |
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0054440 | Measles (Rubeola) Antibody, IgG, CSF | Effective September 3, 2019
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0054441 | Measles (Rubeola) Antibody, IgM, CSF |
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0054442 | Mumps Virus Antibody IgG, CSF | Effective August 20, 2012
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0054443 | Mumps Virus Antibody IgM, CSF |
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0054444 | Varicella-Zoster Virus Antibody, IgG, CSF | Effective February 18, 2020
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0054445 | Varicella-Zoster Virus Antibody, IgM by ELISA (CSF) |
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0050408 | Herpes Simplex Virus Type 1 and/or 2 Antibodies, IgM by ELISA, CSF |
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0050394 | Herpes Simplex Virus Type 1 and/or 2 Antibodies, IgG, CSF |
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0050379 | Herpes Simplex Virus Type 1 Glycoprotein G-Specific Antibody, IgG by ELISA, CSF |
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0050359 | Herpes Simplex Virus Type 2 Glycoprotein G-Specific Antibody, IgG by ELISA, CSF |
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0050238 | West Nile Virus Antibody, IgG by ELISA, CSF |
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0050239 | West Nile Virus Antibody, IgM by ELISA, CSF |
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Interpretive Data
This test was developed and its performance characteristics determined by ARUP Laboratories. It has not been cleared or approved by the US Food and Drug Administration. This test was performed in a CLIA certified laboratory and is intended for clinical purposes.
Laboratory Developed Test (LDT)
Note
If HSV 1 and/or 2 IgG, CSF is 1.10 IV or greater, then HSV 1 G-Specific IgG, CSF and HSV 2 G-Specific IgG, CSF will be added. Additional charges apply.
Hotline History
CPT Codes
86765 x2; 86735 x2; 86787 x2; 86789; 86788; 86694 x2; if reflexed, add 86695; 86696
Components
Component Test Code* | Component Chart Name | LOINC |
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0050238 | West Nile Virus Antibody IgG CSF | 39572-3 |
0050239 | West Nile Virus Antibody IgM CSF | 39573-1 |
0050394 | HSV 1/2 Antibody Screen IgG, CSF | 13249-8 |
0050408 | HSV 1 and/or 2 Antibodies IgM, CSF | 63432-9 |
0054440 | Measles, Rubeola, Antibody IgG CSF | 9566-1 |
0054441 | Measles, Rubeola, Antibody IgM CSF | 13283-7 |
0054442 | Mumps Virus Antibody IgG CSF | 13266-2 |
0054443 | Mumps Virus Antibody IgM CSF | 13267-0 |
0054444 | VZV Antibody IgG CSF | 58755-0 |
0054445 | VZV Antibody IgM CSF | 31695-0 |