Hepatitis Panel, Acute with Reflex to Confirmation

Message
This test includes HBsAg, HBcAb (IgM), HA (IgM), HCAb, Signal to Cut-off


Test Code
10306


CPT Codes
86705, 86709, 86803, 87340

Includes
Hepatitis A IgM Antibody
Hepatitis B Surface Antigen with Reflex to Confirmation
Hepatitis B Core Antibody (IgM)
Hepatitis C Antibody with Reflex to HCV, RNA, Quantitative, Real-Time PCR

Hepatitis B Surface Antigen: Positive samples will be confirmed based on the manufacturer's FDA approved recommendations at an additional charge (CPT code(s): 87341).
If Hepatitis C Antibody is reactive, then Hepatitis C Viral RNA, Quantitative, Real-Time PCR will be performed at an additional charge (CPT code(s): 87522).


Preferred Specimen
5 mL serum


Minimum Volume
2.5 mL


Other Acceptable Specimens
Plasma collected in: EDTA (lavender-top) tube


Instructions
Dietary supplements containing biotin may interfere in assays and may skew analyte results to be either falsely high or falsely low. For patients receiving the recommended daily doses of biotin, draw samples at least 8 hours following the last biotin supplementation. For patients on mega-doses of biotin supplements, draw samples at least 72 hours following the last biotin supplementation.


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: 72 hours
Refrigerated: 14 days
Frozen: 21 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Grossly hemolysis • Grossly lipemic


Methodology
Immunoassay (IA)

Setup Schedule
Mon-Sat


Report Available
2 to 4 Day(s)


Limitations
Results obtained from immunosuppressed patients should be interpreted with caution. Patients receiving mouse antibody therapy may produce false-negative results. False-positives may be detected shortly after immunization to influenza and with patients with hypergammaglobulinemia, positive rheumatoid factor, and connective tissue disorders.


Clinical Significance
Diagnosis acute hepatitis cause by Hepatitis A, B or C.




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.