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Test Code Billings Clinic: 4822 Mayo: MYCO Mycoplasma pneumoniae Antibodies, IgG and IgM, Serum

Reporting Name

M. pneumoniae Ab, IgG and IgM, S

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Useful For

Screening for recent or past exposure to Mycoplasma pneumoniae

 

This test should not be used as a screening procedure for the general population.

Method Name

MYCOG, MYCOM: Enzyme Immunoassay (EIA)

MMYCO: Indirect Immunofluorescence Assay (IFA)

MYCON: Interpretation


Ordering Guidance


Detection of IgM or IgG class antibodies to Mycoplasma pneumoniae provides exposure information. The preferred method of diagnosis of acute M pneumoniae infection is by molecular detection; order MPRP / Mycoplasma pneumoniae, Molecular Detection, PCR, Varies.



Specimen Required


Collection Container/Tube:

Preferred: Serum gel

Acceptable: Red top

Submission Container/Tube: Plastic vial

Specimen Volume: 1 mL

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


Specimen Type

Serum

Specimen Minimum Volume

0.5 mL

Specimen Stability Information

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

Reject Due To

Gross hemolysis Reject
Gross lipemia Reject
Heat inactivated specimen Reject

Reference Values

IgG: Negative

IgM: Negative

IgM by indirect immunofluorescence: Negative

Interpretation

IgG ELISA result

IgM ELISA result

Interpretation

Positive

Negative

Results suggest past exposure.

Positive

 

Reactive

Prior exposure to Mycoplasma pneumoniae detected. Confirmatory testing for IgM to M pneumonia will be performed by an immunofluorescence assay.

Equivocal

Negative

Negative

No antibodies to M pneumoniae detected. Acute infection cannot be ruled out as antibody levels may be below the limit of detection.  If clinically indicated, a second serum should be submitted in 14 to 21 days.

Negative

Reactive

No prior exposure to Mycoplasma pneumoniae. Confirmatory testing for IgM to M pneumonia will be performed by an immunofluorescence assay..

Equivocal

Equivocal

Negative

Recommend follow-up testing in 10 to 14 days if clinically indicated.

Reactive

Confirmatory testing for IgM to M pneumonia will be performed by an immunofluorescence assay.

Equivocal

 

ELISA = Enzyme-linked immunosorbent assay

Day(s) Performed

Monday through Friday

Report Available

Same day/1 to 3 days

Test Classification

This test has been modified from the manufacturer's instructions. Its performance characteristics were determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the US Food and Drug Administration.

CPT Code Information

86738 x 2-Mycoplasma pneumoniae by EIA

86738-Mycoplasma pneumoniae by indirect IFA (if appropriate)

LOINC Code Information

Test ID Test Order Name Order LOINC Value
MYCO M. pneumoniae Ab, IgG and IgM, S 58733-7

 

Result ID Test Result Name Result LOINC Value
MYCOG M. pneumoniae Ab, IgG, S 45224-3
MYCOM M. pneumoniae Ab, IgM, S 5257-1
MYCON M. pneumoniae Ab Interpretation 69048-7

Forms

If not ordering electronically, complete, print, and send Infectious Disease Serology Test Request (T916) with the specimen.

Profile Information

Test ID Reporting Name Available Separately Always Performed
MYCOG M. pneumoniae Ab, IgG, S No Yes
MYCOM M. pneumoniae Ab, IgM, S No Yes
MYCON M. pneumoniae Ab Interpretation No Yes

Reflex Tests

Test ID Reporting Name Available Separately Always Performed
MMYCO M. pneumoniae Ab, IgM, S by IFA No No

Testing Algorithm

If the Mycoplasma pneumoniae IgM result is reactive or equivocal, then M pneumoniae IgM by indirect immunofluorescence assay will be performed at an additional charge.