Test Code 1303 MMRV Immune Status Profile
Methodology
Indirect Chemiluminescence Immunoassay (CLIA)
Performing Laboratory
Alomere Health Hospital Laboratory
Specimen Requirements
Specimen Type: Serum only
Collection Container/Tube: Gold (gel separator) or Red (plain)
Specimen Volume: 3.0 mL
Specimen Minimum Volume: 0.5 mL
Collection Instructions:
1. Allow serum tubes to clot completely. This may take up to 30 minutes.
2. Remove sample from cells by pipetting.
Specimen Transport Temperature
Refrigerated
Reference Values
Measle Antibody IgG
Mumps Virus Antibody IgG
Rubella Antibody IgG
(Reported as Positive, Negative or Equivocal)
Varicella Zoster Antibody IgG
(Reported as Positive or Negative)
Day(s) Test Set Up
Monday - Friday
Test Classification and CPT Coding
86765 Measle IgG
86735 Mumps IgG
86762 Rubella IgG
86787 Varicella Zoster IgG