Skip to main content

Hepatitis C Virus (HCV) Genotyping With 1a Subtype Reflex to Hepatitis C Virus (HCV) NS5A Drug Resistance Assay

CPT 87902. If reflex testing is performed, concomitant CPT codes/charges will apply.

Test Details

Methodology

Polymerase chain reaction (PCR) amplification and solid-phase electrochemical detection

Result Turnaround Time

12 - 18 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.

Use

Genotyping of the six major HCV types and their most common subtypes. Assessment of drug susceptibility by nucleic acid sequencing of a patient's hepatitis C virus (HCV) to the NS5A inhibitors. Detects resistance-associated variants at positions 28, 30, 31, and 93 in genotype 1a HCV.

Limitations

The HCV genotype determination may not be successful when the HCV viral load is <1000 IU/mL serum/plasma. The HCV NS5A drug resistance assay will only be performed when the HCV genotype is 1a.

Specimen Requirements

Specimen

Plasma (preferred) or serum, frozen

Volume

3 mL

Minimum Volume

2 mL

Container

Ship in plasma preparation tubes (PPT™) or screw-capped polypropylene frozen transport tubes.

Collection Instructions

Collect specimen in two PPT™ tubes, gel-barrier tubes, yellow-top (ACD) tubes, or lavender-top (EDTA) tubes. Do not use green-top (heparin) tubes. Centrifuge specimen within six hours of collection, remove serum/plasma, and transfer specimen to polypropylene screw-capped tubes, and freeze. Specimens drawn into PPT™ tubes need to be centrifuged within six hours and frozen. Ship frozen. To avoid delays in turnaround time when requesting multiple tests on frozen samples, please submit separate frozen specimens for each test requested.

Storage Instructions

Freeze.

Causes for Rejection

Hemolysis; green-top (heparin) tube; specimen not frozen on date of collection; PPT™ not centrifuged; specimen received in "pop-top" or "snap-cap" tube; specimen shipped at room temperature

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
550615 HCV Genotype Reflex NS5A 32286-7 550617 Hepatitis C Genotype 32286-7
550615 HCV Genotype Reflex NS5A 32286-7 550618 Please note: 77202-0
Order Code550615
Order Code NameHCV Genotype Reflex NS5A
Order Loinc32286-7
Result Code550617
Result Code NameHepatitis C Genotype
UofM
Result LOINC32286-7
Order Code550615
Order Code NameHCV Genotype Reflex NS5A
Order Loinc32286-7
Result Code550618
Result Code NamePlease note:
UofM
Result LOINC77202-0
Reflex Table for Hepatitis C Genotype
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 550326 HCV NS5A Drug Resistance Assay 550316 HCV NS5A Resistance Assay PDF 72862-6
Reflex 1
Order Code550326
Order NameHCV NS5A Drug Resistance Assay
Result Code550316
Result NameHCV NS5A Resistance Assay PDF
UofM
Result LOINC72862-6
Reflex Table for Hepatitis C Genotype
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 550326 HCV NS5A Drug Resistance Assay 550317 HCV NS5A Drug Resistance Assay 73655-3
Reflex 1
Order Code550326
Order NameHCV NS5A Drug Resistance Assay
Result Code550317
Result NameHCV NS5A Drug Resistance Assay
UofM
Result LOINC73655-3
Reflex Table for Hepatitis C Genotype
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 550326 HCV NS5A Drug Resistance Assay 550318 HCV NS5A Resist Assay Interp 49549-9
Reflex 1
Order Code550326
Order NameHCV NS5A Drug Resistance Assay
Result Code550318
Result NameHCV NS5A Resist Assay Interp
UofM
Result LOINC49549-9
Reflex Table for Hepatitis C Genotype
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 550621 Reflex Test Information 550621 Reflex Test Information N/A
Reflex 1
Order Code550621
Order NameReflex Test Information
Result Code550621
Result NameReflex Test Information
UofM
Result LOINCN/A