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Test Code 414 Hepatitis C Antibody (Anti-HCV) with Reflex to HCV RNA by PCR

Important Note

Reactive Hepatitis C Antibody tests are reflexed to Mayo test (HCVQU) Hepatitis C Virus (HCV) RNA Detection and Quantification by Real-Time Reverse Transcription-PCR (RT-PCR), Serum.

Additional Codes

ALAB: HEPCAB

PowerChart: Hepatitis C Antibody

MA Cerner: Hepatitis C Ab with Rflx to Hep C Confirm

Test Method

MercyOne: Two-Step Immunoassay; Abbott Architect

MA: Immunoenzymatic ("Sandwich") Chemiluminescent Method; Roche Cobas 6000

Specimen Requirement

2 mL SST serum is required.

Additional Specimen Collection Information

Collect blood in a serum gel tube. Serum should be separated from contact with the cells within 2 hours of collection. Specimens not centrifuged within 4 hours of collection may be rejected. Refrigerate the specimen if unable to assay within 8 hours of collection. Hemolyzed specimens are not acceptable. Samples with >1+ lipemia must be cleared prior to analysis.

Performance

Testing is performed Monday through Sunday.

Routine: Typically completed within 4 hours after the specimen arrives at the testing site.

STAT: Typically completed within 2 hours after the specimen arrives at the testing site.

Reference Values

Nonreactive

Incubation period varies from 2 to 52 weeks. Reactivity to Hepatitis C Antibody test does not provide conclusive information regarding infectivity or immunity. Patients who test reactive to the hepatitis c antibody test should be considered infected and infectious until proven otherwise. If the Hepatitis C Antibody test is reactive, supplemental testing to eliminate false-positive Hepatitis C Antibody test results and liver function tests may need to be performed. Patients may be nonreactive to the Hepatitis C Antibody test in the early acute stage of infection, but are still infected with the Hepatitis C Virus. Individuals who are nonreactive initially should be retested every two months for up to a year if Hepatitis C Virus is still suspected.

CPT Code Information

86803 Testing for Infectious Disease Antibodies, Hepatitis C antibody

 

United Healthcare requires a signed ABN.

Useful For

Screening for past (resolved) or chronic Hepatitis C

 

LOINC Code Information

16128-1 Hepatitis C Virus Ab [Presence] In Serum