ARUP's Laboratory Test Directory

Meningoencephalitis Panel, Serum with Reflex to HSV Type 1 and Type 2 Glycoprotein G-Specific Ab, IgG : 2001764

Mnemonic: MENING R

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay/Semi-Quantitative Indirect Fluorescent Antibody/Semi-Quantitative Chemiluminescent Immunoassay
Performed: Tue, Fri
Reported: 2-6 days
Specimen Required: Collect: Serum separator tube.

Specimen Preparation: Transfer 3 mL serum to an ARUP Standard Transport Tube. (Min: 2 mL)

Storage/Transport Temperature: Refrigerated.

Unacceptable Conditions: CSF. Contaminated, heat-inactivated, hemolyzed, or icteric specimens.

Stability (collection to initiation of testing): After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year

Reference Interval:
Effective February 19, 2012
 
Test Number Components Reference Interval
0050508California Encephalitis Antibody, IgG by IFA, Serum Less than 1:16
0098731California Encephalitis Antibody, IgM by IFA, Serum Less than 1:16
0050509Eastern Equine Encephalitis Antibody, IgG by IFA, Serum Less than 1:16
0098733Eastern Equine Encephalitis Antibody, IgM by IFA, Serum Less than 1:16
0050507St. Louis Encephalitis Antibody, IgG by IFA, Serum Less than 1:16
0098732St. Louis Encephalitis Antibody, IgM by IFA, Serum Less than 1:16
0050514Western Equine Encephalitis Antibody, IgG by IFA, Serum Less than 1:16
0098734Western Equine Encephalitis Antibody, IgM by IFA, Serum Less than 1:16
0050234West Nile Virus Antibody, IgG by ELISA, Serum 1.29 IV or less: Negative - No significant level of West Nile virus IgG antibody detected.
1.30-1.49 IV: Equivocal - Questionable presence of West Nile virus IgG antibody detected.  Repeat testing in 10-14 days may be helpful.
1.50 IV or greater: Positive - Presence of IgG antibody to West Nile virus detected, suggestive of current or past infection. 
0050236West Nile Virus Antibody, IgM by ELISA, Serum 0.89 IV or less: Negative - No significant level of West Nile virus IgM antibody detected.
0.90-1.10 IV: Equivocal - Questionable presence of West Nile virus IgM antibody detected.  Repeat testing in 10-14 days may be helpful.
1.11 IV or greater: Positive - Presence of IgM antibody to West Nile virus detected, suggestive of current or recent infection. 
0050380Measles (Rubeola) Antibody, IgG Effective August 20, 2012

24.9 AU/mL or less: Negative - No significant level of detectable measles (rubeola) IgG antibody.
25.0-29.9 AU/mL: Equivocal - Repeat testing in 10-14 days may be helpful.
30.0 AU/mL or greater: Positive - IgG antibody to measles (rubeola) detected, which may indicate a current or past exposure/immunization to measles (rubeola).
0099597Measles (Rubeola) Antibody, IgM 0.79 AU or less: Negative - No significant level of IgM antibodies to measles (rubeola) virus detected.
0.80-1.20 AU: Equivocal - Repeat testing in 10-14 days may be helpful.
1.21 AU or greater: Positive - IgM antibodies to measles (rubeola) virus detected. Suggestive of current or recent infection or immunization.  However, low levels of IgM antibodies may occasionally persist for more than 12 months post-infection or immunization.
0050390Mumps Virus Antibody, IgG Effective August 20, 2012

8.9 AU/mL or less: Negative - No significant level of detectable IgG mumps virus antibody.
9.0-10.9 AU/mL: Equivocal - Repeat testing in 10-14 days may be helpful.
11.0 AU/mL or greater: Positive - IgG antibody to mumps virus detected, which may indicate a current or past exposure/immunization to mumps virus.
0099589Mumps Virus Antibody, IgM 0.79 IV or less: Negative - No significant level of detectable IgM antibody to Mumps virus.
0.80-1.20 IV: Equivocal - Borderline levels of IgM antibody to Mumps virus. Repeat testing in 10-14 days may be helpful.
1.21 IV or greater: Positive - Presence of IgM antibody to Mumps virus detected, which may indicate a current or recent infection. However, low levels of IgM antibody may occasionally persist for more than 12 months post-infection or immunization.
0050167Varicella-Zoster Virus Antibody, IgG Effective August 20, 2012

134 IV or less: Negative - No significant level of detectable varicella-zoster IgG antibody.
135-165 IV: Equivocal - Repeat testing in 10-14 days may be helpful.
166 IV or greater: Positive - IgG antibody to varicella-zoster detected, which may indicate a current or past varicella-zoster infection.
0099314Varicella-Zoster Virus Antibody, IgM 0.90 ISR or less: Negative - No significant level of detectable varicella-zoster virus IgM antibody.
0.91-1.09 ISR: Equivocal - Repeat testing in 10-14 days may be helpful.
1.10 ISR or greater: Positive - Significant level of detectable varicella-zoster virus IgM antibody. Indicative of current or recent infection.  However, low levels of IgM antibodies may occasionally persist for more than 12 months post-infection or immunization.
0050641Herpes Simplex Virus Type 1 and/or 2 Antibodies, IgM by ELISA  
 
0.89 IV or less: Not Detected.
0.90-1.09 IV: Indeterminate - Repeat testing in 10-14 days may be helpful.
1.10 IV or greater: Detected - IgM antibody to HSV detected, which may indicate a current or recent infection. However, low levels of IgM antibodies may occasionally persist for more than 12 months post-infection.
0050293Herpes Simplex Virus Type 1 and/or 2 Antibodies, IgG  
 
0.89 IV or less: Not Detected.
0.90-1.09 IV: Indeterminate - Repeat testing in 10-14 days may be helpful.
1.10 IV or greater: Detected.
0050292Herpes Simplex Virus Type 1 Glycoprotein G-Specific Antibody, IgG by ELISA (HerpeSelect®) 0.89 IV or less: Negative - No significant level of detectable IgG antibody to HSV type 1 glycoprotein G.
0.90-1.10 IV: Equivocal - Questionable presence of IgG antibody to HSV type 1.  Repeat testing in 10-14 days may be helpful.
1.11 IV or greater: Positive - IgG antibody to HSV type 1 glycoprotein G detected, which may indicate a current or past HSV infection.
0050294Herpes Simplex Virus Type 2 Glycoprotein G-Specific Antibody, IgG by ELISA (HerpeSelect®) 0.89 IV or less: Negative - No significant level of detectable IgG antibody to HSV type 2 glycoprotein G.
0.90-1.10 IV: Equivocal - Questionable presence of IgG antibody to HSV type 2.  Repeat testing in 10-14 days may be helpful.
1.11 IV or greater: Positive - IgG antibody to HSV type 2 glycoprotein G detected, which may indicate a current or past HSV infection.
2001633Lymphocytic Choriomeningitis (LCM) Virus Antibody, IgG < 1:10 Negative - No significant level of LCM virus IgG antibody detected.
≥ 1:10 Positive - Presence of IgG antibody to LCM virus detected, suggestive of current or past infection.
2001634Lymphocytic Choriomeningitis (LCM) Virus Antibody, IgM < 1:10 Negative - No significant level of LCM virus IgM antibody detected.
≥ 1:10 Positive - Presence of IgM antibody to LCM virus detected, suggestive of current or past infection.

Interpretive Data: Refer to individual components for additional Interpretive Data.
Note: If HSV 1 and/or 2 IgG is 1.10 IV or greater, then HSV 1 gG-Specific IgG and HSV 2 gG-Specific IgG will be added. Additional charges apply.
CPT Code(s): 86651 x2; 86652 x2; 86653 x2; 86654 x2; 86789; 86788; 86765 x2; 86735 x2; 86787 x2; 86727 x2; 86694; 86694; if reflexed, add 86695; 86696