Update Type: Test Methodology Changed
Test Updated: 02/26/2025
Test Overview
Test Methodology

Multiplex Flow Immunoassay

Test Usage

Support the diagnosis of Varicella Zoster virus infection. The presence of IgG antibody generally indicates past exposure and immunity. Single IgG levels are not useful for supporting the diagnosis of acute infection. Elevated levels in neonates should be followed up with studies to rule out the presence of maternal antibodies.

Reference Range *

NEGATIVE: No Varicella zoster (VZV) IgG antibodies detected. Patient is presumed not to have previous exposure through infection or vaccination. A negative result does not rule out acute infection. The test can be negative in infected patients during the incubation period and the early stages of infection. If exposure to varicella zoster virus is suspected, a second sample should be collected and tested 1-2 weeks later. EQUIVOCAL: A second sample should be collected and tested. POSITIVE: Varicella zoster (VZV) IgG antibodies detected. Patient may have been exposed to VZV through infection and/or vaccination. It is not an indication of active infection or stage of disease.

* Reference ranges may change over time. Please refer to the original patient report when evaluating results.

Test Limitations

A primary Herpes simplex infection can stimulate a heterologous antibody response in individuals previously infected by VZV. The absence of a significant antibody rise does not necessarily rule out VZV infection. The performance characteristics of this test have not been established for CSF, neonates, infants or cord blood. This is a qualitative test; quantitation for comparison of acute and convalescent sera has not been validated by the manufacturer of the current test system. Result values from different methodologies or from different institutions cannot be compared. Timing of specimen collection for paired sera is critical. In some patients, antibody may rise to significant levels and fall again to lower or undetectable levels within a month. Other patients may not develop significant antibody levels.

Test Details
Days Set Up
Monday - Friday
Analytic Time

8 hours

Soft Order Code
VZV
MiChart Code
Varicella Zoster Antibody, IgG
Synonyms
  • Chicken Pox Antibody, IgG
  • Shingles Antibody, IgG
  • Viral Antibody: Varicella zoster IgG
  • VZV, IgG
  • VZV IgG, Index
Laboratory
Chemical Pathology
Section
Immunopathology
Specimen Requirements
Collection Instructions

Collect specimen in an SST (preferred) or red top tube. Centrifuge, aliquot serum into a plastic vial and refrigerate. Post-vaccination samples should be collected 4-6 weeks from the date of vaccination.

Normal Volume
1.0 mL serum
Minimum Volume
0.5 mL serum
Additional Information

Index values are not reported.

Billing
CPT Code
86787
Fee Code
35998
LOINC
15410-4
NY State Approved
No