Hepatitis C Viral RNA Genotype 1 NS3 Drug Resistance

Test Code
90924


CPT Codes
87902

Preferred Specimen
2 mL plasma collected in an EDTA (lavender-top) tube


Minimum Volume
0.6 mL


Other Acceptable Specimens
Plasma collected in: PPT potassium EDTA (white-top) tube • Serum


Instructions
Separate serum or plasma from whole blood within 24 hours of collection by centrifugation at 800-1600 x g for 20 minutes at room temperature. Transfer the plasma to a properly identified, sterile, polypropylene screw-cap vial and ship frozen.

Please note: HCV genotype 1 is required for this test.


Transport Container
Polypropylene screw-cap vial


Transport Temperature
Frozen


Specimen Stability
Room temperature: Unacceptable
Refrigerated: 72 hours
Frozen: 42 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis • Grossly lipemic • Specimens using heparin as the anticoagulant


Methodology
Polymerase Chain Reaction (PCR) • Sequencing

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule
Set up: Mon; Report available: 4-11 days


Reference Range
See Laboratory Report


Clinical Significance
This assay may be used to detect grazoprevir, simeprevir and paritaprevir resistance-associated NS3 mutations in genotype 1 NS3 protease inhibitor treatment-experienced patients and also the Q80K polymorphism in patients being considered for a simeprevir-containing regimen.


Performing Laboratory
Quest Diagnostics Nichols Institute-San Juan Capistrano, CA
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042




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.