HEPATITIS BE ANTIGEN

LAB908

Collect

Serum separator tube (SST). Also acceptable: Lavender (EDTA) or pink (K2EDTA).

Specimen Preparation

Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Unacceptable Conditions

Heat-inactivated, grossly hemolyzed, or lipemic specimens. Specimens containing particulate material, or collected in citrate-based anticoagulant.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: Unacceptable; Refrigerated: 6 days; Frozen: Indefinitely (avoid repeated freeze/thaw cycles)

Notes

Order this assay only when a specimen is repeatedly reactive for hepatitis B surface antigen.

Performed

Sun-Sat

Methodology

Qualitative Enzyme Immunoassay

Reported

1-2 days

Synonyms

  • LAB908

Ordering Recommendations

Monitor HBV therapy; order along with HBV DNA, HBV surface antigen, HBV surface antibody and HBe antibody.

Reference Interval

Negative

CPT Codes

87350
Collection

LAB908

Collect

Serum separator tube (SST). Also acceptable: Lavender (EDTA) or pink (K2EDTA).

Specimen Preparation

Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Unacceptable Conditions

Heat-inactivated, grossly hemolyzed, or lipemic specimens. Specimens containing particulate material, or collected in citrate-based anticoagulant.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: Unacceptable; Refrigerated: 6 days; Frozen: Indefinitely (avoid repeated freeze/thaw cycles)

Notes

Order this assay only when a specimen is repeatedly reactive for hepatitis B surface antigen.
Ordering

Performed

Sun-Sat

Methodology

Qualitative Enzyme Immunoassay

Reported

1-2 days

Synonyms

  • LAB908

Ordering Recommendations

Monitor HBV therapy; order along with HBV DNA, HBV surface antigen, HBV surface antibody and HBe antibody.
Result Interpretation

Reference Interval

Negative
Administrative

CPT Codes

87350

HEPATITIS C VIRUS ANTIBODY

LAB868

HCVAB

Collect

One Red top or Gold top tube with gel separator (SST).

Pediatric Collection

3 mL blood.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Allow to clot for 20 minutes prior to centrifugation. Centrifuge within 2 hours of collection. Send at ambient temperature.

Stability (from collection to initiation)

Ambient: 8 hours; Refrigerated: 2 days; Frozen (-20 degrees C): Unknown.

Performed by

PCL Clinical Laboratory - Core

Performed

Upon receipt

Methodology

Chemilumenescent Immunoassay

Reported

Same day

Synonyms

  • LAB868
  • HCVAB

Reference Interval

NONREACTIVE

Performed by

PCL Clinical Laboratory - Core

CPT Codes

86803

Collection

LAB868

HCVAB

Collect

One Red top or Gold top tube with gel separator (SST).

Pediatric Collection

3 mL blood.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Allow to clot for 20 minutes prior to centrifugation. Centrifuge within 2 hours of collection. Send at ambient temperature.

Stability (from collection to initiation)

Ambient: 8 hours; Refrigerated: 2 days; Frozen (-20 degrees C): Unknown.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Upon receipt

Methodology

Chemilumenescent Immunoassay

Reported

Same day

Synonyms

  • LAB868
  • HCVAB
Result Interpretation

Reference Interval

NONREACTIVE

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

86803

LAB868

HCVAB

Collect

One Red top or Gold top tube with gel separator (SST).

Pediatric Collection

3 mL blood.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Allow to clot for 20 minutes prior to centrifugation. Centrifuge within 2 hours of collection. Send at ambient temperature.

Stability (from collection to initiation)

Ambient: 8 hours; Refrigerated: 2 days; Frozen (-20 degrees C): Unknown.

Performed by

PCL Clinical Laboratory - Core

Performed

Upon receipt

Methodology

Chemilumenescent Immunoassay

Reported

Same day

Synonyms

  • LAB868
  • HCVAB

Reference Interval

NONREACTIVE

Performed by

PCL Clinical Laboratory - Core

CPT Codes

86803

Collection

LAB868

HCVAB

Collect

One Red top or Gold top tube with gel separator (SST).

Pediatric Collection

3 mL blood.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Allow to clot for 20 minutes prior to centrifugation. Centrifuge within 2 hours of collection. Send at ambient temperature.

Stability (from collection to initiation)

Ambient: 8 hours; Refrigerated: 2 days; Frozen (-20 degrees C): Unknown.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Upon receipt

Methodology

Chemilumenescent Immunoassay

Reported

Same day

Synonyms

  • LAB868
  • HCVAB
Result Interpretation

Reference Interval

NONREACTIVE

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

86803

HEPATITIS C VIRUS GENOTYPE

LAB3499
HCVGENO

Collect

One 6 mL Pink top tube (EDTA), filled to at least 90% capacity.

Pediatric Collection

4 mL whole blood or 2 mL serum/plasma.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; non-frozen serum or plasma; samples exposed to repeated freeze/thaw cycles; heparinized samples.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Centrifuge and separate serum/plasma from cells within 6 hours of collection. Freeze serum/plasma within 30 minutes.

Stability (from collection to initiation)

Whole blood: Ambient: 6 hours.
Plasma/Serum: Frozen (-70 degrees C): 4 months.

Remarks

An HEPATITIS C QUANT PCR (LAB887, CPT 87522) mustt be ordered concurrently must be ordered concurrently.

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

Performed

Multiple times weekly. Days vary.

Methodology

PCR amplification, Exonuclease digestion, and Voltammetry.

Reported

Next day in most cases

Synonyms

  • LAB3499
  • HCVGENO

Interpretive Data

HCV Genotypes detected include 1, 2, 3, 4, 5, and 6, as well as numerous HCV subtypes.

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

CPT Codes

87902

Collection

LAB3499
HCVGENO

Collect

One 6 mL Pink top tube (EDTA), filled to at least 90% capacity.

Pediatric Collection

4 mL whole blood or 2 mL serum/plasma.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; non-frozen serum or plasma; samples exposed to repeated freeze/thaw cycles; heparinized samples.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Centrifuge and separate serum/plasma from cells within 6 hours of collection. Freeze serum/plasma within 30 minutes.

Stability (from collection to initiation)

Whole blood: Ambient: 6 hours.
Plasma/Serum: Frozen (-70 degrees C): 4 months.

Remarks

An HEPATITIS C QUANT PCR (LAB887, CPT 87522) mustt be ordered concurrently must be ordered concurrently.

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

Ordering

Performed

Multiple times weekly. Days vary.

Methodology

PCR amplification, Exonuclease digestion, and Voltammetry.

Reported

Next day in most cases

Synonyms

  • LAB3499
  • HCVGENO
Result Interpretation

Interpretive Data

HCV Genotypes detected include 1, 2, 3, 4, 5, and 6, as well as numerous HCV subtypes.

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

Administrative

CPT Codes

87902

HEPATITIS D (DELTA) AB, IGM

LAB3011

Collect

Plain red or serum separator tube (SST).

Specimen Preparation

Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Storage/Transport Temperature

Refrigerated. Also acceptable: Room temperature or frozen.

Stability (from collection to initiation)

Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 month

Performed

Varies

Methodology

Enzyme Immunoassay

Reported

3-8 days

Synonyms

  • LAB3011
  • HEP D IGM
  • HEPDABM

Ordering Recommendations

Determine whether HDV infection is acute rather than chronic. Consider ordering  HBV IgM  core antibody to determine whether HDV infection is a coinfection or a superinfection with HBV.

Reference Interval

By report

CPT Codes

86692
Collection

LAB3011

Collect

Plain red or serum separator tube (SST).

Specimen Preparation

Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Storage/Transport Temperature

Refrigerated. Also acceptable: Room temperature or frozen.

Stability (from collection to initiation)

Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 month
Ordering

Performed

Varies

Methodology

Enzyme Immunoassay

Reported

3-8 days

Synonyms

  • LAB3011
  • HEP D IGM
  • HEPDABM

Ordering Recommendations

Determine whether HDV infection is acute rather than chronic. Consider ordering  HBV IgM  core antibody to determine whether HDV infection is a coinfection or a superinfection with HBV.
Result Interpretation

Reference Interval

By report
Administrative

CPT Codes

86692

HEPATITIS D (DELTA) AB, TOTAL

LAB3195

Collect

Serum separator tube.

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL) Also acceptable: Citrate, EDTA, or heparin plasma.

Unacceptable Conditions

Room temperature specimens. Specimens containing particulate material or obvious microbial contamination. Hemolyzed or lipemic specimens.

Storage/Transport Temperature

Frozen.

Stability (from collection to initiation)

After separation from cells: Ambient: Unacceptable; Refrigerated: 5 days; Frozen: Indefinitely (avoid repeated freeze/thaw cycles)

Notes

Order this assay only when patient has an acute or chronic hepatitis B infection. This test detects total antibodies (IgG and IgM) to the hepatitis Delta agent.

Performed

Tue, Fri

Methodology

Qualitative Enzyme Immunoassay

Reported

1-5 days

Synonyms

  • LAB3195
  • HEPDAB

Ordering Recommendations

Diagnose HDV infection in patient with documented acute or chronic HBV and at risk for HDV infection. Consider ordering HBV IgM core antibody testing to determine whether HDV infection is a coinfection or a superinfection with HBV.

Reference Interval

Negative

CPT Codes

86692
Collection

LAB3195

Collect

Serum separator tube.

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL) Also acceptable: Citrate, EDTA, or heparin plasma.

Unacceptable Conditions

Room temperature specimens. Specimens containing particulate material or obvious microbial contamination. Hemolyzed or lipemic specimens.

Storage/Transport Temperature

Frozen.

Stability (from collection to initiation)

After separation from cells: Ambient: Unacceptable; Refrigerated: 5 days; Frozen: Indefinitely (avoid repeated freeze/thaw cycles)

Notes

Order this assay only when patient has an acute or chronic hepatitis B infection. This test detects total antibodies (IgG and IgM) to the hepatitis Delta agent.
Ordering

Performed

Tue, Fri

Methodology

Qualitative Enzyme Immunoassay

Reported

1-5 days

Synonyms

  • LAB3195
  • HEPDAB

Ordering Recommendations

Diagnose HDV infection in patient with documented acute or chronic HBV and at risk for HDV infection. Consider ordering HBV IgM core antibody testing to determine whether HDV infection is a coinfection or a superinfection with HBV.
Result Interpretation

Reference Interval

Negative
Administrative

CPT Codes

86692

HEPATITIS D (DELTA) ANTIGEN

LAB1316

Collect

Plain red.

Specimen Preparation

Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Unacceptable Conditions

Grossly hemolyzed or lipemic specimens.

Storage/Transport Temperature

Frozen. Also acceptable: Refrigerated.

Stability (from collection to initiation)

Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 3 months

Performed

Varies

Methodology

Qualitative Enzyme-Linked Immunosorbent Assay

Reported

3-9 days

Synonyms

  • LAB1316
  • HEPD AG
  • HEPDAG

Ordering Recommendations

Diagnose HDV infection in patient with documented acute or chronic HBV and at risk for HDV infection. Consider ordering HBV core IgM antibody to determine whether HDV infection is a coinfection or a superinfection with HBV.

Reference Interval

By report

CPT Codes

87380
Collection

LAB1316

Collect

Plain red.

Specimen Preparation

Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Unacceptable Conditions

Grossly hemolyzed or lipemic specimens.

Storage/Transport Temperature

Frozen. Also acceptable: Refrigerated.

Stability (from collection to initiation)

Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 3 months
Ordering

Performed

Varies

Methodology

Qualitative Enzyme-Linked Immunosorbent Assay

Reported

3-9 days

Synonyms

  • LAB1316
  • HEPD AG
  • HEPDAG

Ordering Recommendations

Diagnose HDV infection in patient with documented acute or chronic HBV and at risk for HDV infection. Consider ordering HBV core IgM antibody to determine whether HDV infection is a coinfection or a superinfection with HBV.
Result Interpretation

Reference Interval

By report
Administrative

CPT Codes

87380

HERPES (HSV) CULTURE

LAB946
UHCHSV

Collect

  1. CSF in a sterile container
  2. Lesions/tissues in M6 Transport Media
  3. All other samples appropriate to the clinical syndrome in a sterile container or in M6 Transport Media.

Acceptable for infants only: multiple site swabs (ear, nose, rectum or throat, rectum, eye) in M6 transport media.

Pediatric Collection

Minimum volume 1.5 mL.

Unacceptable Conditions

Wooden swabs; swabs not submitted in transport media; specimens frozen at temperature other than -70 degrees C; specimens not properly identified; incorrect container; insufficient sample volume; unacceptable sample types (blood, plasma, serum, stool).

Storage/Transport Temperature

Internal: Deliver to lab immediately. Specimen must be kept cold and delivered to the laboratory as soon as possible.
Offsite: Transport same day refrigerated or on ice. If delivery is not expected within 24 hours, freeze at -70 degrees C and ship on dry ice.

Stability (from collection to initiation)

72 hours in M6 transport media at 2-8 degrees C.

Remarks

Preliminary culture results are given at Day 1 from the setup date (Day 2 for CSF samples). 
Final tube culture results are given when confirmed positive or at Day 7 from the setup date.

Performed by

PCL Clinical Laboratory - Virology

Performed

Daily

Methodology

Cell culture/ immunofluorescence.

Reported

7 days

Synonyms

  • LAB946

Performed by

PCL Clinical Laboratory - Virology

CPT Codes

87252 (1); 87254 (1)

Collection

LAB946
UHCHSV

Collect

  1. CSF in a sterile container
  2. Lesions/tissues in M6 Transport Media
  3. All other samples appropriate to the clinical syndrome in a sterile container or in M6 Transport Media.

Acceptable for infants only: multiple site swabs (ear, nose, rectum or throat, rectum, eye) in M6 transport media.

Pediatric Collection

Minimum volume 1.5 mL.

Unacceptable Conditions

Wooden swabs; swabs not submitted in transport media; specimens frozen at temperature other than -70 degrees C; specimens not properly identified; incorrect container; insufficient sample volume; unacceptable sample types (blood, plasma, serum, stool).

Storage/Transport Temperature

Internal: Deliver to lab immediately. Specimen must be kept cold and delivered to the laboratory as soon as possible.
Offsite: Transport same day refrigerated or on ice. If delivery is not expected within 24 hours, freeze at -70 degrees C and ship on dry ice.

Stability (from collection to initiation)

72 hours in M6 transport media at 2-8 degrees C.

Remarks

Preliminary culture results are given at Day 1 from the setup date (Day 2 for CSF samples). 
Final tube culture results are given when confirmed positive or at Day 7 from the setup date.

Performed by

PCL Clinical Laboratory - Virology

Ordering

Performed

Daily

Methodology

Cell culture/ immunofluorescence.

Reported

7 days

Synonyms

  • LAB946
Result Interpretation

Performed by

PCL Clinical Laboratory - Virology

Administrative

CPT Codes

87252 (1); 87254 (1)

HERPES B SIMIAE VIRUS

Collect

7 mL red top with gel.

Unacceptable Conditions

Frozen whole blood samples, non frozen samples.

Storage/Transport Temperature

Internal: Deliver to lab immediatley
Offsite: 1 mlL serum Separate serum from cells and deliver to the lab frozen.

Stability (from collection to initiation)

Samples should be frozen ASAP.

Remarks

Testing ONLY to be performed on humans and primates involved in a possible exposure of the human to the Herpes B Simiae virus. Submission of samples should be coordinated through the Primate lab and the Infectious Disease Clinic of the ER.

Performed by

National B Virus Resource Laboratory

Performed

Varies

Methodology

Human specimens-Western Blot
Monkey specimens- ELISA

Performed by

National B Virus Resource Laboratory

CPT Codes

86790
Collection

Collect

7 mL red top with gel.

Unacceptable Conditions

Frozen whole blood samples, non frozen samples.

Storage/Transport Temperature

Internal: Deliver to lab immediatley
Offsite: 1 mlL serum Separate serum from cells and deliver to the lab frozen.

Stability (from collection to initiation)

Samples should be frozen ASAP.

Remarks

Testing ONLY to be performed on humans and primates involved in a possible exposure of the human to the Herpes B Simiae virus. Submission of samples should be coordinated through the Primate lab and the Infectious Disease Clinic of the ER.

Performed by

National B Virus Resource Laboratory
Ordering

Performed

Varies

Methodology

Human specimens-Western Blot
Monkey specimens- ELISA
Result Interpretation

Performed by

National B Virus Resource Laboratory
Administrative

CPT Codes

86790

HERPES B SIMIAE VIRUS CULTURE

Collect

1 dacron or wooden swab in viral media. None.

Unacceptable Conditions

Metal shaft swab, more than one swab per tube, non-frozen specimens.

Storage/Transport Temperature

Internal: Deliver to lab immediatley
Offsite: Deliver to the lab frozen.

Stability (from collection to initiation)

.

Remarks

This test is ONLY requested for humans/primates involved in possible exposure to Herpes B Simiae virus.

Place each swab in separate viral tubes. Freeze viral transport tube @ -70C. Sample submission should be coordinated through the Primate Lab and the Infectious Disease clinic or the ER.

Performed by

National B Virus Resource Laboratory

Performed

Varies

Methodology

Viral Culture

Reported

Varies

Performed by

National B Virus Resource Laboratory

CPT Codes

87252
Collection

Collect

1 dacron or wooden swab in viral media. None.

Unacceptable Conditions

Metal shaft swab, more than one swab per tube, non-frozen specimens.

Storage/Transport Temperature

Internal: Deliver to lab immediatley
Offsite: Deliver to the lab frozen.

Stability (from collection to initiation)

.

Remarks

This test is ONLY requested for humans/primates involved in possible exposure to Herpes B Simiae virus.

Place each swab in separate viral tubes. Freeze viral transport tube @ -70C. Sample submission should be coordinated through the Primate Lab and the Infectious Disease clinic or the ER.

Performed by

National B Virus Resource Laboratory
Ordering

Performed

Varies

Methodology

Viral Culture

Reported

Varies
Result Interpretation

Performed by

National B Virus Resource Laboratory
Administrative

CPT Codes

87252

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