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HIV IgG/IgM Antibody Screening and Confirmation (Serum)

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

This test detects antibodies to the human immunodeficiency virus (HIV), which your body makes in response to infection. It helps determine if you’ve been exposed to HIV.

Quick summary

["Screening for HIV antibodies to check for past or current infection."]

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

Key facts at a glance

LOINC
43008-2
Short code
HIV1+2 IgM Ser-aCnc
Synonyms
HIV1+2 IgM Ser-aCnc
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

Why This Test Is Done

Your healthcare provider may order this test if you have risk factors for HIV, such as unprotected sex, shared needles, or other behaviors that increase exposure. It’s also part of routine testing for certain groups (e.g., pregnant women, people with sexually transmitted infections).

How the Test Works

The test uses a blood sample from your vein to detect antibodies against HIV. The first part (screening) looks for general signs of exposure. If positive, a confirmatory test follows to ensure accuracy. Results may take a few days to weeks to process.

What to Expect Before the Test

No special preparation is needed, but avoid alcohol for 24 hours before your blood draw. Wear comfortable clothing and plan to rest afterward, as you may feel lightheaded from the needle.

What to Expect During the Test

A healthcare provider will insert a small needle into your arm to draw blood. You may feel a quick pinch, but it’s usually over quickly. The blood is sent to a lab for testing.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

HIV Antibody Test (Screen & Confirm)

Frequently asked questions

Positive results indicate the presence of HIV antibodies, suggesting past or current infection. Negative results mean no detectable antibodies at the time of testing, but HIV can still be present if you’re infected. Follow-up testing may be needed for confirmation or monitoring progression.
If you get a positive screening result, a confirmatory test (often called a Western Blot or fourth-generation assay) will be done to confirm HIV infection. Early detection is critical for managing the virus and improving health outcomes.
If you have symptoms like fatigue, fever, or unexplained weight loss, mention them to your provider—these could signal HIV or other infections. HIV testing is confidential and free in many healthcare settings.
Yes, HIV testing is confidential and covered by insurance (including Medicaid and Medicare) without prior authorization in most cases. You can also get tested anonymously at some clinics.
If you test positive, your provider will guide you on next steps, including treatment options, support resources, and how to protect others. Early treatment can help manage the virus and improve your long-term health.
No, this test does not diagnose HIV directly—it only detects antibodies. If you’re at high risk, consider testing every 3–6 months, especially if symptoms appear. Always discuss your results with a healthcare provider.
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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