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3016847
Herpes Simplex Virus Type 1 and 2 Antibodies, IgG by Western Blot, Serum
HSV ABS WB
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). Also acceptable: Plain red or rapid serum tube (RST)
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
Hotline History
Date of Change
Test Name Change
Methodology
Performance/Reported Schedule
Specimen Requirements
Reference Interval
Interpretive Data
Note
CPT Code
Component Change
Other Interface Change
New Test
Inactive
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
