Test Code LAB2256 Mycoplasma pneumoniae Antibodies, IgG and IgM, Serum
Additional Codes
MYCO
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.
Secondary ID
48394Useful For
Screening for recent or past exposure to Mycoplasma pneumoniae
This test should not be used as a screening procedure for the general population.
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.
Method Name
MYCOG, MYCOM: Enzyme Immunoassay (EIA)
MMYCO: Indirect Immunofluorescence Assay (IFA)
MYCON: Interpretation
Specimen Type
SerumSpecimen Minimum Volume
0.5 mL
Specimen Stability Information
Specimen Type | Temperature | Time | Special Container |
---|---|---|---|
Serum | Refrigerated (preferred) | 14 days | |
Frozen | 14 days |
On-campus collections: Tube to 99 or deliver to University Extension Hospital Room EH318
Submission Container/Tube: Plastic vial, Refrigerated
Off-campus collections:
Centrifuge and aliquot within 2 hours.
Specimen to be stored/transported Refrigerated
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
Method Description
IgG:
Diluted sera are incubated in antigen-coated microwells. Any antigen-specific antibody in the samples will bind to the immobilized antigen. The plate is washed to remove unbound antibody and other serum components. Peroxidase conjugated goat-antihuman IgG is added to the wells and incubated. The conjugate will react with the IgG antibody/antigen on the solid phase. The wells are washed to remove unreacted conjugate. The microwells containing immobilized conjugate are incubated with peroxidase substrate solution. Hydrolysis of the substrate by peroxidase produces a color change. After a period of time, the reaction is stopped by the addition of diluted acid, and the color changes are measured photometrically. The color intensity of the solution depends on the antibody concentration in the serum sample.(Package insert: M pneumoniae IgG Test System. Zeus Scientific Inc; Revision Date 12/2017)
IgM Enzyme Immunoassay:
Test sera are diluted with the sample diluent provided. The sample diluent contains antihuman IgG that precipitates and removes IgG and rheumatoid factor from the sample, leaving IgM free to react with immobilized antigen. Diluted sera are incubated in antigen-coated microwells. Any antigen-specific antibody in the samples will bind to the immobilized antigen. The plate is washed to remove unbound antibody and other serum components. Peroxidase-conjugated goat-antihuman IgM (chain specific) is added to the wells and incubated. The conjugate will react with the IgM antibody/antigen on the solid phase. The wells are washed to remove unbound conjugate. The microwells containing immobilized conjugate are incubated with peroxidase substrate solution. Hydrolysis of the substrate by peroxidase produces a color change. After a period of time, the reaction is stopped by the addition of diluted acid, and the color changes are measured photometrically. The color intensity of the solution depends on the antibody concentration in the serum sample.(Package insert: M pneumoniae IgM Test System. Zeus Scientific, Inc; Revision Date 9/22/2016)
IgM Immunofluorescence Assay:
Mycoplasma pneumoniae antigenic substrate is fixed onto microscope slide wells. Serum that has been pretreated to remove IgG antibodies is incubated with the substrate. If IgM antibody to M pneumoniae is present, it will bind to the substrate. Fluorescein-labeled antihuman-IgM conjugate is added to the slide wells, and the slide is incubated. If antibody is present, it can be observed as a characteristic positive, bright, apple-green fluorescent reaction when the slide is read on a fluorescence microscope.(Package insert: Mycoplasma pneumoniae IgM IFA Antibody Test System. Zeus Scientific, Inc; 09/2019)
Day(s) Performed
Monday through Friday
Report Available
Same day/1 to 3 daysSpecimen Retention Time
14 daysPerforming Laboratory
Mayo Clinic Laboratories in RochesterCPT 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.