|Test||HEPATITIS PROFILE, ACUTE, SERUM (REFLEX HCV RNA VIRAL LOAD)|
|Methodology||ACHEP: Chemiluminescence Immunoassay
HCVVL (if indicated): COBAS Ampliprep/COBAS Taqman HCV Test, v2.0, Quantitative Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR)
|Description||Includes: Hepatitis B Core Antibody (IgM), Hepatitis A Antibody (IgM), Hepatitis C Antibody, Hepatitis B Surface
Useful for differential diagnosis of acute viral hepatitis.
NOTE: This test, when ordered on Medicare patients, is subject to the National Coverage Determination (NCD) policy "Hepatitis Panel / Acute Hepatitis Panel". Please verify that the diagnosis code (ICD-9) you have chosen demonstrates medical necessity for the test as documented in the physician's patient record. The CMS web site or the NorDx Medical Necessity Reference Guide are available to assist you with this verification. A properly executed Advance Beneficiary Notice (ABN) must be submitted with the specimen if medical necessity is not demonstrated by the ICD-9 code chosen or if the frequency of a frequency-limited test is unknown.
|Specimen||Draw blood in either a plain, red-top or serum gel tube. Spin down and send 2.0 mL (minimum volume: 1.5 mL) of serum refrigerated.
NOTE: Also draw a lavender-top tube. Spin separate and freeze plasma. Forward along with serum.
Results reported as positive, negative or equivocal. Positive or equivocal Hepatitis C Antibody result will reflex to Hepatitis C Virus RNA Viral Load. Interpretation depends on clinical setting.
See "Hepatitis Serological Profile Interpretation Guide".
|Analytic Time||1 Day|
|Day(s) Test Set Up||Monday through Friday|
80074 Acute hepatitis panel
87341 HBsAg confirmation (if indicated)
87522 HCV RNA Viral Load (if indicated)