Ordering Recommendation

New York DOH Approval Status

This test is not New York state approved. There are no New York state-approved laboratories available. Submit a Non-Permitted Laboratory Request Form (NPL) to the NYDOH prior to collection of specimen. If NPL is approved by NYDOH, and sample is received at ARUP, testing will be performed.

Specimen Required

Patient Preparation
Collect

Serum separator tube (SST).

Specimen Preparation

Transfer 1 mL serum to an ARUP standard transport tube. (Min: 1 mL)
Test is not performed at ARUP; separate specimens must be submitted when multiple tests are ordered.

Storage/Transport Temperature

Frozen. Also acceptable: Refrigerated.

Unacceptable Conditions
Remarks
Stability

Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 6 months
Do not freeze/thaw.

Methodology

Western Blot

Performed

Varies

Reported

7-14 days

Reference Interval

Interpretive Data



Compliance Category

Performed by non-ARUP Laboratory

Note

Hotline History

N/A

CPT Codes

86695, 86696

Components

Component Test Code* Component Chart Name LOINC
3016848 HSV Type 1/2 Abs Source 31208-2
3016849 HSV Type 1 Results 33291-6
3016850 HSV Type 2 Results 16955-7
3016851 HSV Type 1/2 Abs Interpretation 44009-9
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.

Aliases

Herpes Simplex Virus Type 1 and 2 Antibodies, IgG by Western Blot, Serum

Univ. of Washington/Laboratory Medicine