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HEPATITIS PANEL, CHRONIC RFLX

Test Code
HEPCHR
 
shipping instructions CAT B
Order this panel when the patient has a past history (greater then 6 months) of hepatitis of unknown origin, or when evaluating a patient for abnormal liver enzymes of unknown etiology.
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
Important LinksChronic Hepatitis Algorithm
SPECIMEN REQUIREMENTS
Container TypeSerum separator tube (gold, brick, SST, or corvac)
Supply Item Numberpicture1467
Specimen TypeSerum
Preferred Volume3 mL
Minimum Volume1.5 mL
Specimen ProcessingSeparate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube.
Store and TransportRefrigerated. Ship Category B
StabilityRoom Temp 8 hours  Refrigerated 1 week  Frozen (-20 °C) 3 months  
Unacceptable ConditionGrossly hemolyzed or grossly lipemic samples
Alternate SpecimensEDTA, lithium or sodium heparin plasma
LimitationsHeparinized plasma is acceptable, however in some samples it may decrease the reactivity of HBsAg, HBcore Total and/or HBsAb.
CPT Codes86708, 87340, 86704, 86706, 86803
Billing CodeHEPCHR
Test ScheduleMon-Sat
Turnaround Time1-2 days
MethodICMA
Reference Ranges
TitleDescriptorRangesUnits
Hepatitis A Virus TotalNonreactive
Hepatitis B Surface AntigenNonreactive
Confirmation
Hepatitis B Core AntibodyNonreactive
Hepatitis C Antibody ScreenNonreactive
Hepatitis B Surface AbNon-Immune< 10.0mIU/mL
Indicates vaccine response or HBV infection> = 10.0
Samples with a calculated value of 10 mIU/mL or greater are considered reactive (protective) in accordance with the CDC guidelines
Interpretation
Reflex Testing
Reflex ConditionReflex Test NameReflex CPT codesReflex Billing codes
HBsAg is ReactiveHBsAg Confirmation87341BHBSAC

Interface Codes
typeorder codetest descriptionresult coderesult descriptionunitsdecimal placesloinc code
o86999.Z132Hepatitis Panel, Chronic
r86999.Z132Hepatitis Panel, Chronic86287HBs Ag Screen  5196-1
r86999.Z132Hepatitis Panel, Chronic86287.Z2HBsAG Confirm by Neutralization  7905-3
r86999.Z132Hepatitis Panel, Chronic86289.Z1HBc Ab, Total  13952-7
r86999.Z132Hepatitis Panel, Chronic86296.Z1HAV Ab, Total  13951-9
r86999.Z132Hepatitis Panel, Chronic86302.Z1Hepatitis C Antibody  13955-0
r86999.Z132Hepatitis Panel, Chronic86706.Z2Hepatitis B Surface AbmIU/mL15193-8
r86999.Z132Hepatitis Panel, Chronic86999.Z86Interpretation  8253-7

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