Donor, Stem Cells Donor Panel

Test Code
93309


CPT Codes
86703, 87340, 86704, 86803, 86790, 86644, 87801, 87798, 86780

Includes
Donor, HIV-1/-2 plus O Antibody Screen
Donor, Hepatitis B Surface Antigen Reflex to Confirm
Donor, Hepatitis B core Total Antibody
Donor, Hepatitis C Antibody (Anti-HCV)
Donor, HTLV-I/II Antibody Screen
Donor, Cytomegalovirus (CMV) Total Antibodies
Donor, HIV-1/HBV/HCV NAT Procleix® with Reflex to HIV-1/HBV/HCV Discriminatory
Donor, West Nile Virus NAT
Donor, Syphilis IgG Antibody

If the Donor, Hepatitis B Surface Antigen is reactive, then Donor, Hepatitis B Surface Antigen, Confirmation will be performed at an additional charge (CPT code: 87341).

If Donor, HIV-1/HBV/HCV/NAT Procleix® with Reflex is reactive, then the Donor, HIV-1 Discriminatory (CPT code: 87535), Donor, HBV Discriminatory (CPT code: 87516), and Donor, HCV Discriminatory (CPT code: 87521) will be performed at an additional charge.


Preferred Specimen
6 mL serum collected in each of two red-top tubes (no gel), or serum separator tubes (SST)
--and--
6 mL plasma collected in each of two EDTA (lavender-top) tubes


Minimum Volume
6 mL serum • 6 mL plasma


Instructions
Label the tubes according to your standard operating procedure, making sure that each tube has at least two unique patient identifiers.

If transport temperature will be frozen, centrifuge the red/lavender-top tube and transfer the serum/plasma into a plastic screw-cap vial. The plastic screw-cap vial (aliquot tube) containing serum or plasma must be labeled with the specimen type (serum or plasma) and at least two unique patient identifiers. Aliquot tubes must be processed and labeled at the original collection site. If aliquot tubes are submitted, do not send the original red/lavender-top tube.

NOTE: Please include serum, red-top (no gel) for CMV portion of testing.

Please note: This test is to be used for the screening of DONORS of human cells, tissues, and cellular and tissue-based products for infectious diseases.

For Shipper collection please see detailed instructions in Test Resources.


Transport Container
Plastic screw-cap vial(s)


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: Unacceptable
Refrigerated: 5 days
Frozen: 28 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Sample not marked serum/plasma • CMV samples submitted in gel tubes (serum separator tube - SST)


Methodology
Immunoassay (IA) • Hemagglutination • Nucleic Acid Amplification

Setup Schedule
Set up: Daily; Report available: 24 hours


Reference Range
See Laboratory Report


Clinical Significance
Blood donors and donors of human cells, tissues and cellular and tissue-based products (HCT/Ps) must be tested for infectious diseases using assay kits that are FDA-approved or FDA-cleared specifically for donor screening.


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.