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Mycobacterium tuberculosis QuantiFERON-TB Gold Plus (IFN-γ release assay)

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

This blood test measures the body’s immune response to Mycobacterium tuberculosis, the bacterium responsible for tuberculosis. It helps determine if you’ve been exposed to TB bacteria, even if you don’t have active disease.

Quick summary

["This test checks for past or recent TB exposure without symptoms."]

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

Key facts at a glance

LOINC
72276-9
Short code
MTB gyrA fluoroquin res mut Islt/Spm Ql
Synonyms
MTB gyrA fluoroquin res mut Islt/Spm Ql
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
molgen
CPT
85610
SNOMED
396252006
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 doctor may recommend this test if you have risk factors for TB, such as living or traveling in areas with higher TB rates, having certain medical conditions, or being in close contact with someone diagnosed with TB. It’s also used to screen people before certain procedures (like surgery) or before starting treatments that weaken the immune system.

How the Test Works

The test uses a small blood sample to detect specific immune cells that release interferon-gamma (IFN-γ) when exposed to TB-specific proteins. This response indicates a past or current immune reaction to TB, but not necessarily active disease.

What to Expect Before the Test

No special preparation is needed. You may have a slight bruise or soreness at the injection site, but this is normal. Avoid alcohol before the test, as it may affect blood clotting.

What the Results Mean

A positive result suggests a past exposure to TB bacteria. A negative result means no detectable immune response, which may indicate no exposure or a very recent one. A weak or borderline result may need further testing.

Reference range

INR: 0.8-1.2 (warfarin: 2.0-3.0)N/A

Specimen: serum

Inform your healthcare provider if you are taking blood thinners. No special preparation required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

TB IGRA (Interferon-Gamma Release Assay)

Frequently asked questions

What does a positive result mean?
A positive result means your immune system has recognized TB bacteria, but it does not confirm active TB. You may need additional tests (like a chest X-ray or sputum culture) to check for active disease. If you have symptoms like coughing, fever, or weight loss, see your doctor immediately.
What does a negative result mean?
A negative result means your immune system did not recognize TB bacteria in this test. However, TB can lie dormant for years, so you may still be at risk. If you have risk factors, follow-up testing or preventive treatment (like isoniazid) may be recommended.
How often should I get this test?
This test is typically done once unless your doctor advises retesting due to changes in your health, risk factors, or exposure. It’s not a routine screening test for everyone.
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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