ZikaIgM

Laboratory Fee Schedule
Procedure: MAM0089A
CPT: 86790

 

Synonym(s): Arbovirus, Flavivirus
Requisition Form G-2V
Test Description Qualitative Immunochromatographic Assay (ICA) for the presumptive detection of IgM antibodies to Zika virus using Chembio DPP Assay system..
Pre-Approval Needed Yes. Contact your local or state epidemiologist if Zika virus is suspected. Contact information can be found at the following link:
http://www.dshs.texas.gov/idcu/investigation/conditions/contacts/ 
Supplemental Information Required N/A
Supplemental Form(s) N/A
Performed on Specimens from (sources) Human
Sample/Specimen Type for Testing Serum
Minimum Volume/Size Required 1.0 mL
Storage/Preservation Prior to Shipping Serum separated from the clot may be stored at 2°C to 8°C up to 48 hours, but then must be frozen at -20°C or colder until shipped.
Transport Medium N/A
Specimen Labeling
  • At least two patient-specific identifiers are required (e.g., patient’s full name, date of birth and Medical Record number).
  • Three patient identifiers are preferred. 
  • Patient identifiers on specimen tube must exactly match identifiers on the G-2V submission form.
  • Additional DSHS Laboratory specimen labeling guidelines available online here.
Shipping and Specimen Handling Requirements
  • Ship according to Dangerous Goods Regulations, IATA, and/or CFR 49.
  • Handle as infectious agent using universal precautions.
  • Triple contain in accordance with federal shipping regulations for infectious agents.  
    Additional forms & resources
  • If specimen will arrive at the Lab within 48 hours of collection, refrigerate at 2°C –8°C and ship overnight on cold packs.
  • If specimen will arrive at the lab more than 48 hours after time of collection, freeze at -20°C or colder, and ship overnight on dry ice. 
  • Additional DSHS Laboratory specimen shipping guidelines online here.
Method Immunochromatographic Assay ICA, lateral flow test, rapid test
Turn-around Time 7 working days
Interferences/Limitations
  • The most common cause of false positive results is cross-reactivity with IgM specific for other flaviviruses.  
  • Negative results do not preclude infection with Zika and should not be the sole basis of a patient treatment/management or public health decision.
Common Causes for Rejection
  • Insufficient quantity
  • Unacceptable specimen type or source
  • Improper shipping conditions
  • Expired media or collection container
  • Discrepancies between specimen label and submission form
  • Incomplete, illegible, or missing submission form
Additional Information
  • Reactive samples will be forwarded to CDC for confirmatory testing by Plaque Reduction Neutralization Test (PRNT).
  • Minimum volume for CDC confirmation testing 0.5 mL.
  • Please visit www.texaszika.org/labs/htm for more information.