Varicella zoster IgG Immune Status !!! NOTE: The contents are valid only for: 02/10/2025 !!!

WSLH Department: CDD - Communicable Disease Division
WSLH Test Code: SS02165
Day(s) Performed: Test is performed weekly.
Turn-around Time: 1-8 days
Recommended Uses: Determination of Varicella immune status. May also be used for quantitative paired sera testing for confirmation of recent or current infection.
Pre-approval: N
Contraindications:
Additional Tests Performed:
Preparation for Collection: Routine blood draw
Specimen Requirements: Minimum of 0.5 ml serum
Collection Instructions: Routine blood draw
Collection Kit/Container: Serology Specimens
Sterile Transfer Tube
Requisition Form: CDD Requisition Form B
Required Information: Laboratory regulations require the following minimum information to be provided on the requisition form for a specimen to be accepted for testing: Patient name or unique identifier; date and time of collection, patient date of birth and sex, specimen type/site of collection, test request(s), clinician name and UPIN, and address for reporting results. Please be certain that name/identifier on the form matches that on the specimen label.
Rejection Criteria:
Specimen Handling: Store serum specimen at 2-8 degrees C and transport with frozen cool packs.
Packaging Requirements:
Courier Information:
Specimen Receiving Hours: Monday-Friday 7:45 AM - 4:30 PM, Saturday 7:45 AM - 12:00 PM
Results Include: Results are reported as Present, Equivocal or Absent. Interpretation: Present indicates the level of IgG antibody detected can usually be considered protective. Equivocal indicates an insufficient level of antibody to assure protection. Absent indicates Varicella IgG not detected, indicating patient susceptible to infection. If paired sera testing yields less than a four-fold change in titer, it indicates no evidence of recent or current infection. If paired sera testing yields a four-fold or greater titer change, it is considered diagnostic for recent or current infection.
Limitations: For immune status testing only. Use Varicella zoster PCR (VR01727) for diagnosis of current infection.
Additional Tests Recommended:
Additional Comments:
Methodology: Indirect Fluorescent Antibody (IFA).
Includes: Qualitative IgG IFA assay for the detection of IgG antibodies to Varicella virus.
Regulatory Compliance:
CPT Code: 86787
Price: $24.00 Price Effective 1/1/25
Fee Exempt Eligible: N
Billing and Revenue Office: 1-800-862-1065 arbill@slh.wisc.edu
!!! NOTE: The contents are valid only for: 02/10/2025 !!!