HTLV-I/II Antibody, with Reflex to Confirmatory Assay

Test Code

HTLVP

Alias/See Also

LAB8528

CPT Codes
<p>86790</p>

Includes

If HTLV-I/II Antibody is Reactive, then HTLV-I/II Antibody, Confirmatory Assay will be performed at an additional charge (CPT code(s): 86689)

Preferred Specimen

Specimen Type: Serum

Collection Container/Type

Preferred: Serum gel

Acceptable: Red top

Submission Container/Tube: Plastic vial

Specimen Volume: 2 mL

Specimen Type: Plasma

Collection Container/Type: Lavender top (EDTA)

Submission Container/Tube: Plastic vial

Specimen Volume: 2 mL

Minimum Volume

1 mL

Other Acceptable Specimens

Plasma collected in: EDTA (lavender-top) tube

Instructions

Label the tubes according to your standard operating procedure, making sure that each tube has at least two unique patient identifiers.

If transport temperature will be frozen, centrifuge the red/lavender-top and transfer the serum/plasma into a plastic, screw-cap vial. The plastic, screw-cap vial (aliquot tube) containing serum or plasma must be labeled with the specimen type (serum or plasma) and at least two unique identifiers. Aliquot tubes must be processed and labeled at the original collection site. If aliquot tubes are submitted, do not send the original red/lavender-top.

Room temperature transport is acceptable. Do not store at room temperature.

Transport Container

Transport tube

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

Room temperature: Unacceptable

Refrigerated: 14 days

Frozen: 30 days

Methodology

Screen: Immunoassay (IA)

Confirmation: Immunoblot (IB)

Setup Schedule

Set up: Daily; Report available: 36 hours (reflex: 2-7 days)

Report Available

1-4 days

Reference Range

Non-Reactive

Clinical Significance

HTLV-I is associated with adult T-cell lymphoblastic leukemia and B-cell chronic lymphocytic leukemia. HTLV-II is less common and is associated with neoplasias of the CD8 T lymphocytes. Blood donor screening began in 1998.

Performing Laboratory
Quest Diagnostics Nichols Institute 14225 Newbrook Drive Chantilly, VA 20153

Last Updated: February 23, 2012

The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.