Hepatitits Be Antigen

Message
Sendout, Mayo test code: EAG


Test Code
LAB908


Alias/See Also
HBeAg
Hepatitis Be Ag
HBe Ag
HBe antigen
Hepatitis Be antigen
EAG


CPT Codes
87350

Preferred Specimen
1 mL serum from a gold serum gel tube


Patient Preparation
For 24 hours before specimen collection do not take multivitamins or dietary supplements containing biotin (vitamin B7), which is commonly found in hair, skin, and nail supplements and multivitamins.

Minimum Volume
0.5 mL


Other Acceptable Specimens
Red tube


Instructions
1. Centrifuge blood collection tube per collection tube manufacturer's instructions (eg, centrifuge and aliquot within 2 hours of collection for BD Vacutainer tubes).
2. Aliquot serum into plastic vial.


Transport Container
Plastic vial


Transport Temperature
Frozen


Specimen Stability
Frozen (preferred): 25 days 
Refrigerated: 7 days
Ambient: 24 hours


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis: Reject
Gross lipemia: Reject
Gross icterus: Reject
Plasma


Methodology
Immunoassay (IA)

FDA Status
Approved

Setup Schedule
Monday through Saturday


Report Available
1-3 days


Limitations
Biotin (vitamin B7) is a common ingredient in multivitamins and dietary supplements to enhance hair, nail, and skin growth. Biotin can interfere with the assay performance and cause possible false-negative hepatitis Be antigen (HBeAg) and false-positive anti-HBe results. Patients should be instructed to stop taking such multivitamins and dietary supplements for at least 24 hours prior to blood collection.
 
Disappearance of HBeAg or appearance of anti-HBe in serum does not completely rule-out chronic hepatitis B carrier state or infectivity.
 
Performance characteristics of this assay have not been established in patients under the age of 2 or in populations of immunocompromised or immunosuppressed patients. This assay is not licensed by US Food and Drug Administration for testing cord blood specimens or screening donors of blood, plasma, human cell, or tissue products.
 
Performance characteristics have not been established for the following specimen characteristics:
-Grossly icteric (total bilirubin level >20 mg/dL)
-Grossly lipemic (triolein level >3000 mg/dL)
-Grossly hemolyzed (hemoglobin level >61 mg/dL)
-Specimen containing particulate matter



Reference Range
Included with report


Clinical Significance
Determining the presence or absence of detectable hepatitis B e antigen in monitoring infection status of individuals with chronic hepatitis B
 
Determining infectivity of hepatitis B virus (HBV) carriers
 
Monitoring serologic response of chronically HBV-infected patients receiving antiviral therapy


Performing Laboratory
Mayo Clinic Laboratories, Rochester, Minnesota

Additional Information
Hepatitis B e Antigen, Serum


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.