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Serum or Plasma Immunoassay for Immunoglobulin M (IgM) Antibody to Epstein-Barr Virus (EBV) Nucleocapsid Antigen

Published: August 9, 2026Updated: August 16, 2026

This test measures antibodies in your blood that your immune system produces in response to the Epstein-Barr virus (EBV), a common virus that can cause infections like mononucleosis.

Quick summary

["Helps diagnose or monitor EBV infection by detecting specific antibodies over time."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
101124-6
Short code
CRBN-BLAIMINMC
Synonyms
blaIMI+blaNMC genes Islt/Spm Ql
Category
chemistry
Sample
serum
Container
Sterile, leak-proof container or bacterial transport medium; for serum-based molecular testing, use serum separator tube (SST) or sterile cryovial
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
molgen
CPT
87798
SNOMED
43491000
Specimen volume
1-2 mL of serum or bacterial isolate in transport medium; minimum 0.5 mL
Stability
Serum: Room temperature 24 hours; Refrigerated (2-8°C) up to 7 days; Frozen (-20°C or below) up to 30 days. Bacterial isolates: Room temperature in transport medium 24-48 hours; refrigerated up to 7 days.
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
24–72 hours
Order
routine

What This Test Measures

The test looks for IgM antibodies against EBV’s nucleocapsid protein, which appear shortly after infection. These antibodies are typically present for a few months to a year before declining as your body clears the virus.

Why It’s Ordered

Your healthcare provider may recommend this test if you have symptoms like fever, fatigue, swollen lymph nodes, or pharyngitis (sore throat), especially if you’ve been exposed to someone with EBV or recently had a viral illness.

When Results May Change

IgM levels rise quickly after infection but can drop as your body fights the virus. If you’re being tested for EBV exposure, results may be most reliable within weeks to months post-exposure.

Common Reasons for Testing

This test is often used alongside other EBV-related tests (like IgG or viral load) to confirm acute infection, assess immune response, or guide treatment decisions in conditions like chronic fatigue syndrome or certain cancers linked to EBV.

Reference range

Negative (blaIMI and blaNMC carbapenem resistance genes not detected)N/A

Specimen: serum

No special patient preparation required. Collect specimen prior to initiation of antimicrobial therapy when possible for optimal recovery of resistance determinants.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

IgM EBV Nucleocapsid Antibody

Frequently asked questions

Why might my test results be normal if I suspect EBV infection?
IgM antibodies may not yet be detectable if you were infected recently. If symptoms persist, your provider may order additional tests (like IgG antibodies or viral PCR) to better understand your infection status.
Can this test detect latent EBV infection?
No, this test specifically measures IgM antibodies tied to active EBV infection. Latent EBV (where the virus hides in cells) is typically monitored with different tests, such as EBV DNA testing or IgG antibodies.
How long do IgM antibodies last after infection?
IgM antibodies typically decline within 6 to 12 months after acute infection, though some people may retain them longer. If you’re being tested for chronic symptoms, your provider may compare IgM/IgG levels over time to track changes.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy