HEPATITIS C ANTIBODY SCREEN WITH REFLEX TO HCV PCR

Message
Useful for: Detecting and diagnosing chronic hepatitis C virus (HCV) infection
If the HCV antibody screen is reactive, then HCV RNA by PCR, Quantitative (test code HCVQR) will be performed at an additional charge.


Test Code
LAB304734


CPT Codes
86803

Preferred Specimen
One 7 mL lavender top tube


Minimum Volume
3.5 mL blood
Required for Testing: 1.5 mL plasma


Instructions
Avoid freeze-thaw cycling
Note: The Fairmont campus will perform the screening test and send the confirmation test to Morgantown.

Sample must be centrifuged within two hours of collection. Serum/plasma must be removed from the red cells and put into aliquot tubes following centrifugation.


Transport Temperature
Frozen


Specimen Stability
For Plasma and whole blood  
Ambient: 7 days   Refrigerated: 14 days   Frozen: 3 months


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Turbid, lipemic, grossly hemolyzed, or heat-inactivated specimens. Cadaveric specimens


Methodology
Anti-HCV Antibody: Chemiluminescent microparticle immunoassay  HCV Quantitative PCR: AmpliPrep/COBAS TaqMan HCV

Setup Schedule
Sunday- Saturday


Reference Range
Nonreactive (<0.80 S/CO)


Clinical Significance
A nonreactive test result does not exclude the possibility of exposure to or infection with hepatitis C virus.
Nonreactive test results in individuals with prior exposure to HCV may be due to antibody levels being below the detection limit of this assay
or to lack of antibody reactivity to the recombinant antigens used in this assay.
Immunocompromised patients who have HCV may produce levels of antibody below the sensitivity of this assay and may not be detected as
reactive/positive.


Performing Laboratory
West Virginia University Hospital, Inc.
Berkeley Medical Center
Braxton County Memorial Hospital
Camden Clark Medical Center
Fairmont Medical Center
Reynolds Memorial Hospital
Summersville Regional Medical Center
St Joseph's Hospital



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.