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ACHPR
HEPATITIS PROFILE, ACUTE, SERUM (REFLEX HCV RNA VIRAL LOAD)

Test Code ACHPR 
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
Antigen.

Useful for differential diagnosis of acute viral hepatitis.
"Hepatitis B Surface Antigen Confirmation, Serum" may be performed at an additional charge on specimens exhibiting low positivity for Hepatitis B Surface Antigen.

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. 

Reference Values Negative
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 
CPT Code(s) 80074  Acute hepatitis panel
87341  HBsAg confirmation (if indicated)
87522  HCV RNA Viral Load (if indicated)