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Test Code Billings Clinic: 8088 Mayo: ROGM Measles (Rubeola) Virus Antibody, IgM and IgG, Serum

Reporting Name

Measles (Rubeola) Ab, IgM and IgG,S

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Useful For

Diagnosing measles virus infection

 

Determination of immune status of individuals to the measles virus using IgG antibody testing

 

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

Method Name

ROM: Immunofluorescence Assay (IFA)

ROPG: Multiplex Flow Immunoassay (MFI)


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

0.6 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

IMMUNOGLOBULIN M

Negative

Reference values apply to all ages.

 

IMMUNOGLOBULIN G

Vaccinated: positive (≥1.1 AI)

Unvaccinated: negative (≤0.8 AI)

Reference values apply to all ages.

Interpretation

This assay tests for both IgM and IgG-class antibodies. The presence of IgM-class antibodies, with or without the presence of IgG-class antibodies, to measles virus may support a clinical diagnosis of recent/acute phase infection with the virus. IgM results alone should not be used to diagnose measles virus infection.

 

The absence of IgM-class antibodies suggests lack of an acute phase infection with measles virus. However, serology may be negative for IgM-class antibodies in early disease, and results should be interpreted in the context of clinical findings.

 

Testing for IgM-class antibodies to measles should be limited to patients with clinically compatible disease.

 

The presence of detectable IgG-class antibodies, in the absence of IgM-class antibodies, indicates prior exposure to the measles virus through infection or immunization. These individuals are considered immune to measles infection.

 

The absence of detectable IgG-class antibodies suggests the lack of a specific immune response to immunization or no prior exposure to the measles virus. These individuals are considered nonimmune to measles virus infection.

Day(s) Performed

Monday through Saturday

Report Available

Same day/1 to 3 days

Test Classification

This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.

CPT Code Information

86765-Rubeola IgM

86765-Rubeola IgG

LOINC Code Information

Test ID Test Order Name Order LOINC Value
ROGM Measles (Rubeola) Ab, IgM and IgG,S 90253-6

 

Result ID Test Result Name Result LOINC Value
80979 Measles (Rubeola) Ab, IgM, S 35276-5
ROG Measles (Rubeola) Ab, IgG, S 35275-7
DEXG3 Measles IgG Antibody Index 5244-9

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
ROM Measles (Rubeola) Ab, IgM, S Yes Yes
ROPG Measles (Rubeola) Ab, IgG, S Yes Yes