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Hepatitis B Core Antibody (IgM) - Serum

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

This test measures the presence of IgM antibodies to the hepatitis B core antigen in your blood. IgM antibodies typically appear early in an infection and can help identify recent or acute hepatitis B virus (HBV) exposure.

Quick summary

["Detects recent hepatitis B infection with IgM antibodies to the core antigen."]

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

Key facts at a glance

LOINC
109969-6
Short code
HBV core IgG Msmt Ser
Synonyms
HBV core IgG Msmt Ser
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82784
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What Does This Test Measure?

The test looks for IgM antibodies against the hepatitis B core antigen, which are produced by your immune system shortly after infection. These antibodies are a sign that your body is actively fighting an HBV infection, often within weeks of exposure.

Why Is This Test Important?

This test helps doctors determine if you have recently been infected with hepatitis B. Unlike other hepatitis B markers, IgM antibodies appear earlier in the infection timeline and can help distinguish between acute and chronic HBV infection.

When Might You Need This Test?

You may need this test if you have symptoms like fatigue, jaundice (yellow skin/eyes), abdominal pain, or if you’ve been exposed to hepatitis B (e.g., through medical procedures, sexual contact, or sharing needles). Healthcare providers may also order it for routine screening in high-risk groups.

What Does a Positive Result Mean?

A positive result means your immune system is actively producing IgM antibodies to the hepatitis B core antigen, suggesting recent HBV infection. This does not mean you are currently contagious in all cases, but it indicates you need further evaluation by a healthcare provider.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A positive IgM antibody result is critical because it often signals an acute infection. This test alone cannot confirm the stage of infection or long-term health effects, so follow-up tests (like hepatitis B surface antigen or antibody tests) may be needed. Chronic infection can develop if the virus persists beyond the acute phase, so early detection is key for management and treatment planning.

Short name

HBc IgM

Frequently asked questions

How is this test different from other hepatitis B tests?
Unlike tests for hepatitis B surface antibodies (which indicate past infection or immunity) or surface antigen (which indicates chronic infection), this test specifically looks for IgM antibodies to the core antigen. These appear early in infection and help distinguish between acute and chronic HBV.
What are the most common symptoms of hepatitis B that this test helps detect?
This test helps detect hepatitis B even when symptoms are mild or absent. Common symptoms that may prompt testing include fatigue, fever, loss of appetite, nausea, dark urine, or jaundice (yellowing of skin/eyes). Early detection through this test is crucial for preventing complications.
Can I get this test at home, or do I need to visit a lab?
This test is typically performed in a clinical laboratory setting. You will need to provide a blood sample, usually drawn by a healthcare professional. Your doctor will guide you on the best time to schedule the test.
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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