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Test Code VZPG Varicella-Zoster Antibody, IgG, Serum

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Reporting Name

Varicella-Zoster Ab, IgG, S

Specimen Type

Serum


Specimen Required


Supplies: Sarstedt Aliquot Tube, 5 mL (T914)

Collection Container/Tube:

Preferred: Serum gel

Acceptable: Red top

Submission Container/Tube: Plastic vial

Specimen Volume: 0.5 mL

Collection Instructions: Centrifuge and aliquot serum into a plastic vial.


Reject Due To

Gross hemolysis Reject
Gross lipemia Reject
Gross icterus Reject
Heat-inactivated specimen Reject

Specimen Stability Information

Specimen Type Temperature Time Special Container
Serum Refrigerated (preferred) 14 days
  Frozen  14 days

Specimen Minimum Volume

0.4 mL

Day(s) Performed

Monday through Saturday

Specimen Retention Time

14 days

Report Available

Same day/1 to 3 days

Reference Values

Vaccinated: Positive (≥1.1 antibody index [AI])

Unvaccinated: Negative (≤0.8 AI)

Reference values apply to all ages.

Useful For

Determination of immune status of individuals to the varicella-zoster virus (VZV)

 

Documentation of previous infection with VZV in an individual without a previous record of immunization to VZV

CPT Code Information

86787

LOINC Code Information

Test ID Test Order Name Order LOINC Value
VZPG Varicella-Zoster Ab, IgG, S 15410-4

 

Result ID Test Result Name Result LOINC Value
VZG Varicella-Zoster Ab, IgG, S 15410-4
DEXG4 Varicella IgG Antibody Index 5403-1

Supportive Data

To evaluate the accuracy of the BioPlex Varicella-Zoster Virus (VZV) IgG multiplex flow immunoassay, 500 prospective serum samples were analyzed in a blinded fashion by the Diamedix VZV IgG enzyme immunoassay (EIA) (Diamedix) and the BioPlex VZV IgG assay. Samples with discordant results after initial testing were repeated by both assays during the same freeze/thaw cycle. Further discrepancies were evaluated by the SeraQuest VZV IgG EIA.(Quest International) The results are summarized in the Table below:

 

Table. Comparison between Bioplex and Diamedix Varicella-Zoster Virus (VZV) Assays

Diamedix VZV IgG EIA

BioPlex VZV IgG

 

Positive

Negative

Equivocal

Positive

436

0

0

Negative

18(a)

22

4

Equivocal

19

0

1

 

a. All 18 specimens tested positive by the SeraQuest VZV IgG EIA.

Sensitivity: 92.2% (436/473); 95% CI: 89.4%-94.3%

Specificity: 100.0 (22/22); 95% CI: 82.5%-100.0%

Overall percent agreement: 91.8% (459/500); 95% CI: 89.0%-93.9%

Forms

If not ordering electronically, complete, print, and send 1 of the following forms with the specimen:

-General Request (T239)

-Infectious Disease Serology Test Request (T916)