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Cvaabsp2titrser

Published: August 9, 2026Updated: August 10, 2026

This test measures antibodies to Coxsackievirus A in your blood to help diagnose recent infection.

Quick summary

{"Detects immune response to Coxsackievirus A infection","Second specimen compared to first to confirm recent infection","Helps diagnose hand-foot-and-mouth disease and other Coxsackievirus infections"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 10, 2026Editorial policy

Key facts at a glance

LOINC
40761-9
Short code
COXAAT2
Synonyms
CV A Ab sp2 Titr Ser
Category
cardiac
Sample
serum
Container
Serum separator tube (SST) or plain red top tube
Units
N/A
Ref low
40
Ref high
160
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
Immunofluorescence assay (IFA) or Enzyme-linked immunosorbent assay (ELISA)
CPT
86658
SNOMED
122442004
Specimen volume
1-2 mL of serum
Stability
Room temperature: 8 hours; Refrigerated (2-8°C): 48-72 hours; Frozen (-20°C or below): several weeks. Avoid repeated freeze-thaw cycles.
Hemolysis max
50
Lipemia max
300
Icterus max
20
TAT
24–120 hours
Order
routine

What is this test?

The Coxsackievirus A Antibody Test (2nd specimen) is a blood test that measures the level of antibodies your immune system has produced against Coxsackievirus A. When you have a second blood sample taken (usually 2-4 weeks after the first), doctors can compare antibody levels to determine if you have a recent or past infection.

How is the test performed?

A healthcare professional will draw a blood sample from a vein in your arm. The blood is sent to a laboratory where technicians measure the level of Coxsackievirus A antibodies. This is the second of two blood samples—the first was likely taken during your initial illness, and this one shows how your immune system has responded over time.

What do the results mean?

A significant increase in antibody levels between the first and second blood samples indicates a recent or ongoing Coxsackievirus A infection. This is called seroconversion or a four-fold rise in titer. A positive result helps confirm infections like hand-foot-and-mouth disease, herpangina, or other illnesses caused by Coxsackievirus A.

Reference range

Negative: <1:40; Equivocal: 1:40-1:80; Positive: ≥1:160. A four-fold rise in titer between acute and convalescent specimens (2nd specimen) indicates recent or acute infection.N/A

Specimen: serum

No special preparation required. Fasting is not necessary. Inform the laboratory of any recent viral infections or immunizations.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Why do I need two blood samples?
Two samples are needed to detect a rising antibody level, which confirms a recent infection rather than a past one. The first sample shows your initial antibody level, and the second shows whether your immune system has mounted a stronger response.
Is fasting required before the test?
No, fasting is not required for this blood test. You can eat and drink normally before having your blood drawn.
How long does it take to get results?
Results are typically available within a few days to a week, as the test requires specialized laboratory equipment to measure antibody levels.
What should I do if my test is positive?
A positive result indicates a recent Coxsackievirus A infection. Your doctor will discuss treatment options, which usually focus on managing symptoms as there is no specific antiviral treatment for Coxsackievirus. Most people recover on their own within 7-10 days.
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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 10, 2026. · Read our editorial policy