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HIV Antibody and Antigen Screening Test (Serum)

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

This test detects both HIV antibodies and the virus itself in your blood to help identify early infection.

Quick summary

["Early detection of HIV infection through antibody and antigen testing is crucial for timely treatment and management."]

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

Key facts at a glance

LOINC
16976-3
Short code
HIV1 Ag Ser-aCnc
Synonyms
HIV1 Ag 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
86701
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 recommend this test if you have symptoms of HIV, such as fever, fatigue, or unexplained weight loss, or if you’ve been exposed to HIV. It’s also part of routine testing for certain high-risk groups, like those with multiple sexual partners or intravenous drug use history. Some people get tested as part of regular health check-ups, especially if they’re pregnant, have HIV-related conditions, or are planning to receive blood products.

What to Expect During the Test

A small amount of blood is drawn from a vein in your arm. You may feel a slight pinch, but it usually doesn’t cause significant discomfort. The blood is then sent to a lab for testing. Results are typically available within a few days, but timing can vary depending on your healthcare provider’s process.

What the Test Results Mean

If the test is positive, it means your body has detected HIV antibodies and/or the virus itself, indicating an active infection. You’ll need follow-up testing and medical evaluation to confirm the diagnosis and start appropriate treatment. If the test is negative, it means no detectable HIV was found in this sample, but you should still discuss your risk factors with your healthcare provider to prevent future exposure.

Preparing for the Test

There’s no special preparation needed for this test. However, if you’re on blood-thinning medications or have a history of bleeding disorders, let your healthcare provider know before the test. Avoid eating or drinking anything (except water) for at least 8 hours before the blood draw if instructed, though this is less common for this specific test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

HIV Screen (Serum)

Frequently asked questions

Early detection of HIV is critical because it allows for immediate initiation of antiretroviral therapy (ART), which can significantly improve health outcomes, reduce the risk of transmitting the virus to others, and help manage symptoms. This test helps identify infection before symptoms become severe, enabling better management and support networks.
What happens if my test is positive?
If your test is positive, you’ll need further testing to confirm the diagnosis. Your healthcare provider will likely order additional tests, such as a confirmatory HIV antibody test or viral load test, to ensure accuracy. You’ll also be connected with resources for counseling, support groups, and treatment options tailored to your needs.
How soon can I get results?
Results are usually available within a few days to a week, depending on the lab’s processing time and your healthcare provider’s workflow. If you’re concerned about delays, ask your provider to check on the status of your results. It’s important to follow up with your healthcare team even if you’re waiting for results.
False positives are rare but can occur, especially in the early stages of infection when the body is still building antibodies. False negatives are more likely if the test is done too soon after exposure (within the first few weeks). If your test is negative but you suspect you’ve been exposed, retesting after 3–6 weeks is recommended.
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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