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Hepatitis C Virus (HCV) Antibody Cascade to Quantitative PCR and Genotyping

CPT 86803; if reflex test is performed, additional CPT codes may apply.

Test Details

Methodology

Enzyme immunoassay (EIA) with reflex to real-time PCR

Result Turnaround Time

1 - 4 days

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Related Documents

For more information, please view the literature below.

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Use

This test is used for diagnosis and management of hepatitis C virus (HCV) infection. A positive antibody test will reflex to a quantitative PCR assay. When the quantitative viral load is >1000 IU/ml an additional reflex to genotyping will occur.

Special Instructions

Submit two samples, preferably one refrigerated unopened gel-barrier tube and one frozen serum/plasma pour off tube.

This test may exhibit interference when sample is collected from a person who is consuming a supplement with a high dose of biotin (also termed as vitamin B7 or B8, vitamin H, or coenzyme R). It is recommended to ask all patients who may be indicated for this test about biotin supplementation. Patients should be cautioned to stop biotin consumption at least 72 hours prior to the collection of a sample.

Specimen Requirements

Specimen

Serum or plasma

Volume

3 mL

Minimum Volume

1.5 mL

Container

Gel-barrier tube, lavender-top (EDTA) tube, or plasma preparation tube (PPT)

Collection Instructions

Two samples must be submitted.

Antibody test: If tube other than a gel-barrier tube is used, transfer separated serum/plasma to a plastic transport tube.

PCR test: Centrifuge sample within 24 hours of collection. Transfer serum/plasma to a screw-cap polypropylene transport tube. Ship frozen (preferred). Plasma from a PPT can be frozen and shipped in situ. To avoid delays in turnaround time when requesting multiple tests on frozen samples, please submit a separate frozen specimen for each test requested.

Stability Requirements

Temperature

Period

Room temperature

Antibody test: 14 days

PCR test: 24 hours

Refrigerated

Antibody test: 14 days

PCR test: 72 hours

Frozen

Antibody test: 14 days

PCR test: 6 weeks

Storage Instructions

Antibody test: refrigerated (preferred)

PCR test: frozen (preferred)

Causes for Rejection

Incorrect anticoagulant; PPT not centrifuged

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
144127 HCV Antibody Cascade(PCR/Geno) 40726-2 144035 HCV Ab 40726-2
Order Code144127
Order Code NameHCV Antibody Cascade(PCR/Geno)
Order Loinc40726-2
Result Code144035
Result Code NameHCV Ab
UofM
Result LOINC40726-2
Reflex Table for HCV Ab
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 144030 Interpretation: 144030 Interpretation: 13955-0
Reflex 1
Order Code144030
Order NameInterpretation:
Result Code144030
Result NameInterpretation:
UofM
Result LOINC13955-0
Reflex Table for HCV Ab
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 550553 HCV RT-PCR, Quant (Non-Graph) 550338 Hepatitis C Quantitation IU/mL 11011-4
Reflex 1
Order Code550553
Order NameHCV RT-PCR, Quant (Non-Graph)
Result Code550338
Result NameHepatitis C Quantitation
UofMIU/mL
Result LOINC11011-4
Reflex Table for HCV Ab
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 550553 HCV RT-PCR, Quant (Non-Graph) 550338 Hepatitis C Quantitation IU/mL 11011-4
Reflex 1
Order Code550553
Order NameHCV RT-PCR, Quant (Non-Graph)
Result Code550338
Result NameHepatitis C Quantitation
UofMIU/mL
Result LOINC11011-4
Reflex Table for HCV Ab
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 550553 HCV RT-PCR, Quant (Non-Graph) 550339 HCV log10 log10 IU/mL 38180-6
Reflex 1
Order Code550553
Order NameHCV RT-PCR, Quant (Non-Graph)
Result Code550339
Result NameHCV log10
UofMlog10 IU/mL
Result LOINC38180-6
Reflex Table for HCV Ab
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 550553 HCV RT-PCR, Quant (Non-Graph) 550314 Test Information: 19147-8
Reflex 1
Order Code550553
Order NameHCV RT-PCR, Quant (Non-Graph)
Result Code550314
Result NameTest Information:
UofM
Result LOINC19147-8
Reflex Table for HCV Ab
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 550553 HCV RT-PCR, Quant (Non-Graph) 550396 Interpretation: 62365-2
Reflex 1
Order Code550553
Order NameHCV RT-PCR, Quant (Non-Graph)
Result Code550396
Result NameInterpretation:
UofM
Result LOINC62365-2
Reflex Table for HCV Ab
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 550553 HCV RT-PCR, Quant (Non-Graph) 550394 HCV Genotype N/A
Reflex 1
Order Code550553
Order NameHCV RT-PCR, Quant (Non-Graph)
Result Code550394
Result NameHCV Genotype
UofM
Result LOINCN/A