Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Test Name: Sunquest Test Code Epic Procedure Code Or ID CPT Code:  

TOXO IGM ANTIBODY

ORDERING INFORMATION:
Sunquest Test Code:
TOXOM      Geisinger Epic Procedure Code: 86778         Geisinger Epic ID: 7474

SPECIMEN COLLECTION
Specimen type:
Serum
Preferred collection container:
Alternate Collection Container:
6 mL red-top (plain, non-serum separator) tube
Specimen required:
0.5 mL serum; minimum 0.2 mL

SPECIMEN PROCESSING
Specimen processing instructions:
Allow to clot. Centrifuge and submit 0.5 mL serum. 
Transport temperature:
Refrigerated (preferred). Room temperature (stable 8 hours) and frozen specimens also acceptable.
Specimen stability:
Room temperature: 8 hours. 2-8°C: 48 hours. Frozen: 6 months.
Rejection criteria:
Specimen stability exceeded; specimen grossly hemolyzed.

TEST DETAILS
Interpretation guide:
Index Value
Result
Interpretation
< 8 AU/mL Negative Absence of detectable Toxoplasma gondii IgM antibodies. A negative result does not rule out acute toxoplasmosis because the infection may be in its very early stage and the patient has not developed Toxoplasmosis gondii specific IgM. If exposure to Toxoplasma gondii is suspected despite a negative finding, a second sample should be collected and tested three weeks later.
8 to 9.9 AU/mL Equivocal Suggest a second sample be collected and tested one to two weeks later.
> 10 AU/mL Positive Possible presence of detectable Toxoplasma gondii IgM antibodies. A specimen with a positive result should be further tested for Toxoplasma gondii IgG.
NOTE: The magnitude of the measured result is not indicative of the amount of antibody present.
CPT code(s):
86778
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.  The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.
Test includes:
Antibody detection to Toxoplasma IgM.
Methodology:
Chemiluminescence
Synonyms:
Toxoplasma gondii IgM Antibody
Toxoplasma Antibody IgM, Toxoplasma IgM antibody
Clinical significance:
Toxoplasmosis is an infectious disease caused by the parasite Toxoplasma gondii. Toxoplasmosis IgM antibodies develop 2-4 weeks after onset of infection and generally disappear in 3-9 months. Toxoplasma IgG antibodies rise gradually and peak 2-5 months post onset of infection. The presence of an IgM antibody with an absent or low-positive IgG is generally indicative of acute toxoplasmosis.
Doctoral Director(s:)
Stacy Kenyon, PhD, DABCC
Hoi-Ying Elsie Yu, PhD, DABCC    
Review Date: 10/24/2018

Performing Locations

Geisinger Medical Center

Performing laboratory: Immunology
Technical Lead: Kathy Hurst
Frequency: Sunday, Tuesday through Friday: 1st shift
Performed stat? No
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