HIV-1 RNA, Quantitative, Real-Time PCR, with Reflex to Phenosense GT™

Test Code
14688

CPT Codes
87536

Includes
If the results of HIV-1 RNA, Quantitative, Real-Time PCR are greater than 500 copies/mL, then PhenoSense GT®, performed at Monogram Biosciences, will be added at an additional charge (CPT code(s): 87901, 87903, 87904 (x8)).

Preferred Specimen
Minimum: 3 mL plasma collected in (x2) EDTA (lavender-top) tubes

Other Acceptable Specimens
Plasma in (x2) potassium EDTA (white-top) PPT tubes

Instructions
Do not freeze whole blood or any samples stored in primary tube. Freshly drawn specimens (whole blood) may be stored at 2-25° C for up to 24 hours prior to centrifugation. Separate plasma from cells within 24 hours of collection by centrifugation. Follow manufacturer's instructions for collection tube handling.

Transport Container
Plastic screw-cap vial

Transport Temperature
Frozen

Specimen Stability
Room temperature: Unacceptable
Refrigerated: Unacceptable
Frozen: 14 days

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Plasma received frozen in the plasma preparation tube (PPT) • Serum • Whole blood greater than 24 hours old • Frozen whole blood

Methodology
Real-Time PCR

Setup Schedule
Set up: Tues, Thurs a.m.; Report available: Next day

Reference Range
Not detected copies/mL
Not detected Log copies/mL


Clinical Significance
Measurement of HIV-1 plasma levels (viral load) provides a direct assessment of viremia and should be used in conjunction with CD4+ T-cell counts. HIV-1 RNA quantitation is useful in patients to assess prognosis, monitor progression of HIV-1 infection, determine when to initiate therapy, and monitor the effectiveness of antiretroviral therapy.

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




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.