Hepatitis B Core Ab Total

Message
NCMC does not perform hepatitis testing on cadaver samples. 


Test Code
HBCT - NCMC


CPT Codes
86704

Preferred Specimen
1 mL serum from SST or Red Top


Minimum Volume
0.5 mL


Instructions
Spin down within 24 hours of draw.


Specimen Stability
Specimen Type Temperature Time
Serum SST Refrigerated 3 days
Serum SST – Separated Frozen 30 days
Red Top – Separated* Refrigerated 3 days
Red Top – Separated* Frozen 30 days
 
*Centrifuge and aliquot into a plastic vial.


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


Methodology
Chemiluminometric

Setup Schedule
Monday through Sunday; Continuously


Report Available
Same day


Reference Range
Nonreactive (reported as Nonreactive or Reactive)


Clinical Significance
IgM & IgG (total) Hepatitis B Core Antibodies appear at the onset of symptoms in acute hepatitis B and persist for life. The presence of anti-HBc indicates previous or ongoing infection with hepatitis B virus in an undefined time frame. Hep B Core IgM positivity indicates recent infection with hepatitis B virus (<6 mos).

HBV vaccination leads to development of HBs Ab but not to HBc Ab. Anti-Hbc IgG reactivity can persist for years after illness, and may even outlast anti-HBS.


Performing Laboratory
North Colorado Medical Center Laboratory



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.