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HIV-1 Antibody/IgG/IgM Confirmatory Test (Serum/Plasma)

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

This test checks for antibodies to the human immunodeficiency virus (HIV) in your blood or plasma, helping confirm if you have been exposed to HIV. It is used to diagnose HIV infection after initial screening tests.

Quick summary

["This test helps determine if you have HIV antibodies, supporting diagnosis or ruling out infection."]

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

Key facts at a glance

LOINC
41290-8
Short code
HIV1+2 IgM SerPl IA-aCnc
Synonyms
HIV1+2 IgM SerPl IA-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
ia
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 This Test Measures

The test detects antibodies produced by your immune system in response to HIV. These antibodies (specifically IgG and IgM) are markers of an immune reaction to the virus. The test uses a sensitive immunoassay method to identify these antibodies in your blood or plasma sample.

Why It’s Performed

Healthcare providers perform this test to confirm HIV infection after a positive screening result. It helps distinguish between recent and past exposures by detecting different types of antibodies (IgM for recent infection, IgG for ongoing infection).

Sample Collection and Preparation

A blood sample is drawn from a vein in your arm. The blood is processed to separate plasma or serum, which is then tested for HIV antibodies. This process is quick and typically done in a clinical setting.

What to Expect Before the Test

No special preparation is needed for this test. You may have some mild discomfort from the needle, but this usually fades quickly. If you are on blood-thinning medication, inform your provider before the test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A positive result indicates the presence of HIV antibodies, confirming HIV infection. This test is critical for early diagnosis, treatment planning, and managing HIV as part of comprehensive care. False positives are rare but possible, so follow-up testing may be recommended if results are unclear.

Short name

HIV Antibody Confirmatory

Frequently asked questions

How long does it take to get results from this test?
Results are typically available within 24 to 48 hours, depending on lab processing times. Your healthcare provider will discuss the results with you and guide next steps, such as further testing or treatment planning.
Can I eat or drink before this test?
No special diet or fasting is required for this test. You can eat and drink normally before your blood draw, as it does not affect the accuracy of the antibody detection.
What if my screening test was positive but this confirmatory test is negative?
If your initial screening test was positive but this confirmatory test is negative, it may mean you did not have an active HIV infection at the time of testing. However, retesting after a few weeks is recommended to check for recent infection, as antibodies may take time to develop.
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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