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Hepatitis B Core Antibody, IgM (Serum) – Confirmatory Test

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

This test detects the presence of IgM antibodies against the hepatitis B virus core antigen in your blood. IgM antibodies typically appear early in infection and can help identify recent or acute hepatitis B exposure.

Quick summary

["IgM antibodies may signal an active hepatitis B infection, especially when found alongside other markers like surface antibodies."]

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

Key facts at a glance

LOINC
5186-2
Short code
HBV core IgM Ser RIA-aCnc
Synonyms
HBV core IgM Ser RIA-aCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ria
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 measures **IgM antibodies** specific to the hepatitis B virus core protein. These antibodies are produced by your immune system in response to an active infection. IgM is often the first antibody detected shortly after exposure to the virus.

Why Might You Need This Test?

Your healthcare provider may order this test if you have symptoms of hepatitis B (e.g., fatigue, jaundice, abdominal pain) or if you’ve been exposed to the virus. It can also be used to monitor chronic hepatitis B cases or rule out recent infection in high-risk groups (e.g., travelers, healthcare workers).

What Does a Positive Result Mean?

A positive result suggests you are currently infected with hepatitis B, as IgM antibodies indicate an active immune response to the virus. This does not mean you will develop chronic liver disease, but it requires medical evaluation and treatment to manage the infection.

What Does a Negative Result Mean?

A negative result means your body either hasn’t been exposed to hepatitis B recently or has already cleared the infection (with IgM antibodies no longer present). However, chronic infection may still be present if other markers (e.g., surface antibodies) are elevated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

IgM Anti-HBV Core (Serum)

Frequently asked questions

How long does it take to get results from this test?
Results are typically available within 24 to 72 hours, depending on your lab’s processing time. Follow-up with your healthcare provider to discuss next steps, especially if you receive a positive result.
Can this test be used to diagnose chronic hepatitis B?
No, this test alone cannot diagnose chronic hepatitis B. Chronic infection is usually confirmed by detecting hepatitis B surface antibodies (anti-HBs) and/or hepatitis B surface antigen (HBsAg) in combination with other clinical factors.
Is there any risk or preparation needed before this test?
No special preparation is needed. You may have a small needle inserted into your arm to draw blood. If you’re on blood thinners or have a history of bleeding disorders, inform your healthcare provider beforehand.
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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