HISTAMINE PLASMA

LAB1033

Collect

Lavender (EDTA) or pink (K2EDTA). Collect in a pre-chilled tube and on ice.

Specimen Preparation

Centrifuge refrigerated and separate upper two-thirds of plasma within 20 minutes. Transfer 1 mL plasma to an ARUP Standard Transport Tube and freeze immediately. (Min: 0.5 mL)

Unacceptable Conditions

Non-frozen or hemolyzed specimens.

Storage/Transport Temperature

CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.

Stability (from collection to initiation)

After separation from cells: Ambient: 1 hour; Refrigerated: 6 hours; Frozen: 6 months

Performed

Tue, Sat

Methodology

Quantitative Enzyme-Linked Immunosorbent Assay

Reported

1-6 days

Synonyms

  • LAB1033
  • HIST-P
  • HISTPL

Ordering Recommendations

Aid in evaluation of patient with allergic signs and symptoms, such as anaphylaxis; may assist in diagnosing and monitoring of mast-cell activation disorders.

Reference Interval

Effective June 13, 2011

0-8 nmol/L

CPT Codes

83088
Collection

LAB1033

Collect

Lavender (EDTA) or pink (K2EDTA). Collect in a pre-chilled tube and on ice.

Specimen Preparation

Centrifuge refrigerated and separate upper two-thirds of plasma within 20 minutes. Transfer 1 mL plasma to an ARUP Standard Transport Tube and freeze immediately. (Min: 0.5 mL)

Unacceptable Conditions

Non-frozen or hemolyzed specimens.

Storage/Transport Temperature

CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.

Stability (from collection to initiation)

After separation from cells: Ambient: 1 hour; Refrigerated: 6 hours; Frozen: 6 months
Ordering

Performed

Tue, Sat

Methodology

Quantitative Enzyme-Linked Immunosorbent Assay

Reported

1-6 days

Synonyms

  • LAB1033
  • HIST-P
  • HISTPL

Ordering Recommendations

Aid in evaluation of patient with allergic signs and symptoms, such as anaphylaxis; may assist in diagnosing and monitoring of mast-cell activation disorders.
Result Interpretation

Reference Interval

Effective June 13, 2011

0-8 nmol/L
Administrative

CPT Codes

83088

HISTAMINE URINE

LAB3307

 

Collect

Random or 24-hour urine in a plastic container. Refrigerate during collection.

Specimen Preparation

Transfer a 4 mL aliquot from a well-mixed random or 24-hour collection to an ARUP Standard Transport Tube and freeze immediately. (Min: 1 mL) Record total volume and collection time interval on transport tube and test request form.

Unacceptable Conditions

Room temperature specimens.

Storage/Transport Temperature

CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.

Stability (from collection to initiation)

Ambient: Unacceptable; Refrigerated: 24 hours; Frozen: 6 months

Notes

If 24-hour urine is submitted, the excretion will be calculated. If random urine is submitted, the result will be reported as Not applicable.

Performed

Tue, Sat

Methodology

Quantitative Enzyme Immunoassay

Reported

1-6 days

Synonyms

  • LAB3307
  • HIST-U
  • HISTU

Ordering Recommendations

Aid in evaluation of patient with allergic signs and symptoms, such as anaphylaxis. May assist when diagnosing and monitoring mast-cell activation disorders or when evaluating histamine production over a longer time frame.

Reference Interval

Effective February 21, 2012
ComponentsReference Interval
Histamine, Urine - ratio to CRT0-450 nmol/g crt
Histamine, Urine, Excretion - 24h0-60 µg/day

CPT Codes

83088
Collection

LAB3307

 

Collect

Random or 24-hour urine in a plastic container. Refrigerate during collection.

Specimen Preparation

Transfer a 4 mL aliquot from a well-mixed random or 24-hour collection to an ARUP Standard Transport Tube and freeze immediately. (Min: 1 mL) Record total volume and collection time interval on transport tube and test request form.

Unacceptable Conditions

Room temperature specimens.

Storage/Transport Temperature

CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.

Stability (from collection to initiation)

Ambient: Unacceptable; Refrigerated: 24 hours; Frozen: 6 months

Notes

If 24-hour urine is submitted, the excretion will be calculated. If random urine is submitted, the result will be reported as Not applicable.
Ordering

Performed

Tue, Sat

Methodology

Quantitative Enzyme Immunoassay

Reported

1-6 days

Synonyms

  • LAB3307
  • HIST-U
  • HISTU

Ordering Recommendations

Aid in evaluation of patient with allergic signs and symptoms, such as anaphylaxis. May assist when diagnosing and monitoring mast-cell activation disorders or when evaluating histamine production over a longer time frame.
Result Interpretation

Reference Interval

Effective February 21, 2012
ComponentsReference Interval
Histamine, Urine - ratio to CRT0-450 nmol/g crt
Histamine, Urine, Excretion - 24h0-60 µg/day

Administrative

CPT Codes

83088

HISTOPLASMA ANTIBODIES

LAB795

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: 0.25 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of acute specimens. Mark specimens plainly as acute or convalescent.

Unacceptable Conditions

Contaminated or severely lipemic specimens.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)

Notes

Negative fungal serology does not rule out the possibility of current infection.

Performed

Sun-Sat

Methodology

Semi-Quantitative Complement Fixation

Reported

1-3 days

Synonyms

  • LAB795
  • HISTOAB

Ordering Recommendations

Not recommended as a stand-alone test. Refer to Histoplasma Antibodies by CF & ID (0050627).

Reference Interval

Components
Reference Interval
Histoplasma Mycelia, CFLess than 1:8
Histoplasma Yeast, CFLess than 1:8

Interpretive Data

An antibody titer greater than or equal to 1:8  is generally considered presumptive evidence of histoplasmosis. Greater than 1:32 or rising titers indicate strong presumptive evidence of histoplasmosis.

Yeast phase is regarded as more sensitive. Approximately 90-95 percent of cases have positive titers to one or both antigens. Titers to mycelial antigen are higher in chronic infection. Cross-reactions, usually at lower titers, may occur with other fungal disease. Rising titers suggest progression of infection. Skin tests in individuals previously exposed may cause titer elevation in 17-20 percent of cases.

CPT Codes

86698 x2
Collection

LAB795

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: 0.25 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of acute specimens. Mark specimens plainly as acute or convalescent.

Unacceptable Conditions

Contaminated or severely lipemic specimens.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)

Notes

Negative fungal serology does not rule out the possibility of current infection.
Ordering

Performed

Sun-Sat

Methodology

Semi-Quantitative Complement Fixation

Reported

1-3 days

Synonyms

  • LAB795
  • HISTOAB

Ordering Recommendations

Not recommended as a stand-alone test. Refer to Histoplasma Antibodies by CF & ID (0050627).
Result Interpretation

Reference Interval

Components
Reference Interval
Histoplasma Mycelia, CFLess than 1:8
Histoplasma Yeast, CFLess than 1:8

Interpretive Data

An antibody titer greater than or equal to 1:8  is generally considered presumptive evidence of histoplasmosis. Greater than 1:32 or rising titers indicate strong presumptive evidence of histoplasmosis.

Yeast phase is regarded as more sensitive. Approximately 90-95 percent of cases have positive titers to one or both antigens. Titers to mycelial antigen are higher in chronic infection. Cross-reactions, usually at lower titers, may occur with other fungal disease. Rising titers suggest progression of infection. Skin tests in individuals previously exposed may cause titer elevation in 17-20 percent of cases.

Administrative

CPT Codes

86698 x2

Histoplasma Antigen by EIA, Serum

LAB4292

Collect

Plain red or serum separator tube.

Specimen Preparation

Transfer 2 mL serum to an ARUP Standard Transport Tube (ARUP Supply #43115). (Min: 1 mL)

Unacceptable Conditions

Urine (refer to test Histoplasma Galactomannan Antigen Quantitative by EIA, Urine (ARUP test code 2009418). Specimens other than serum.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

Ambient: Unacceptable; Refrigerated: 5 weeks; Frozen: Indefinitely (avoid repeated freeze/thaw cycles)

Notes

For urine refer to test Histoplasma Galactomannan Antigen Quantitative by EIA, Urine (ARUP test code 2009418).

Performed

Sun-Sat

Methodology

Semi-quantitative Enzyme Immunoassay

Reported

1-2 days

Reference Interval

Negative - Less than 2.0 U/mL
Weak Positive - 2.0-4.0 U/mL
Positive - 4.1 or greater U/mL

CPT Codes

87385
Collection

LAB4292

Collect

Plain red or serum separator tube.

Specimen Preparation

Transfer 2 mL serum to an ARUP Standard Transport Tube (ARUP Supply #43115). (Min: 1 mL)

Unacceptable Conditions

Urine (refer to test Histoplasma Galactomannan Antigen Quantitative by EIA, Urine (ARUP test code 2009418). Specimens other than serum.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

Ambient: Unacceptable; Refrigerated: 5 weeks; Frozen: Indefinitely (avoid repeated freeze/thaw cycles)

Notes

For urine refer to test Histoplasma Galactomannan Antigen Quantitative by EIA, Urine (ARUP test code 2009418).
Ordering

Performed

Sun-Sat

Methodology

Semi-quantitative Enzyme Immunoassay

Reported

1-2 days
Result Interpretation

Reference Interval

Negative - Less than 2.0 U/mL
Weak Positive - 2.0-4.0 U/mL
Positive - 4.1 or greater U/mL
Administrative

CPT Codes

87385

HISTOPLASMA GALACTOMANNAN ANTIGEN URINE

LAB400

Collect

Random urine.

Specimen Preparation

Transfer 2 mL urine to an ARUP Standard Transport Tube.

Unacceptable Conditions

Specimens other than urine. Urine in boric acid. Serum; refer to test Histoplasma Antigen by EIA, Serum (ARUP test code 0092522).

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

Ambient: Unacceptable; Refrigerated: 2 weeks; Frozen: 2 weeks (avoid repeated freeze/thaw cycles)

Performed

Sun-Sat

Methodology

Quantitative Enzyme Immunoassay

Reported

1-2 days

Synonyms

  • LAB400
  • HISTOGM U
  • HISTOPAGU

Ordering Recommendations

Aid in the diagnosis of histoplasmosis. Recommend testing in conjunction with Histoplasma Antibodies by CF & ID (0050627) and Histoplasma Antigen by EIA, Serum (0092522).

Reference Interval

Not Detected

Interpretive Data

Less than 0.4 ng/ml = Not Detected
0.4-3.1 ng/mL = Detected (below the limit of quantification)
3.2-20.0 ng/mL = Detected
Greater than 20.0 ng/mL = Detected (above the limit of quantification)

The quantitative range of this assay is 3.2-20.0 ng/mL. Antigen concentrations between 0.4-3.1 or >20.0 ng/mL fall outside the linear range of the assay and cannot be accurately quantified.

This EIA test should be used in conjunction with other diagnostic procedures, including microbiological culture, histological examination of biopsy samples, and/or radiographic evidence, to aid in the diagnosis of histoplasmosis.

CPT Codes

87385
Collection

LAB400

Collect

Random urine.

Specimen Preparation

Transfer 2 mL urine to an ARUP Standard Transport Tube.

Unacceptable Conditions

Specimens other than urine. Urine in boric acid. Serum; refer to test Histoplasma Antigen by EIA, Serum (ARUP test code 0092522).

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

Ambient: Unacceptable; Refrigerated: 2 weeks; Frozen: 2 weeks (avoid repeated freeze/thaw cycles)
Ordering

Performed

Sun-Sat

Methodology

Quantitative Enzyme Immunoassay

Reported

1-2 days

Synonyms

  • LAB400
  • HISTOGM U
  • HISTOPAGU

Ordering Recommendations

Aid in the diagnosis of histoplasmosis. Recommend testing in conjunction with Histoplasma Antibodies by CF & ID (0050627) and Histoplasma Antigen by EIA, Serum (0092522).
Result Interpretation

Reference Interval

Not Detected

Interpretive Data

Less than 0.4 ng/ml = Not Detected
0.4-3.1 ng/mL = Detected (below the limit of quantification)
3.2-20.0 ng/mL = Detected
Greater than 20.0 ng/mL = Detected (above the limit of quantification)

The quantitative range of this assay is 3.2-20.0 ng/mL. Antigen concentrations between 0.4-3.1 or >20.0 ng/mL fall outside the linear range of the assay and cannot be accurately quantified.

This EIA test should be used in conjunction with other diagnostic procedures, including microbiological culture, histological examination of biopsy samples, and/or radiographic evidence, to aid in the diagnosis of histoplasmosis.

Administrative

CPT Codes

87385

HIV by PCR, Quantitative

LAB878

Collect

One6.0 mL pink-top (EDTA plasma)filled to at least 90% capacity.

Pediatric Collection

At least 1.0 mL of whole blood collected in a 1.0 mL pink top microtainer (EDTA) or other blood tube with EDTA anticoagulant.

Unacceptable Conditions

Contaminated specimen; clotted sample; improper storage conditions; samples stored in fixatives; heparin anticoagulant; any tubes with gel; gross hemolysis; sample not properly identified; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.
Offsite: If delivered within 6 hours, centrifuge within 1 hour of collection and transport to lab at 2-25 degrees C.

 

If delivered in more than 6 hours, centrifuge within 1 hour of collection, place at least 2 mL plasma in an aliquot container, freeze at -70 degrees C and transport on dry ice.

Stability (from collection to initiation)

Before centrifugation: 1 hour.

 

After centrifugation: Ambient, 6 hours; Refrigerated, 6 hours

 

Plasma aliquot: Ambient, 24 hours; Refrigerated, 5 days; Frozen (-70 degrees C), 6 months.

Remarks

CSF is a non FDA-approved sampe type, but has been clinically validated.

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

Performed

Mon - Fri dayshift

Methodology

Real-time PCR utilizing the Roche COBAS Ampliprep/ COBAS Taqman 96 HIV-1 test version 2.0. FDA-approved

Reported

In 5 days

Synonyms

  • LAB878

Reference Interval

TND= Target not detected. Below qualitative range.

Interpretive Data

TND = Target not detected. Below qualitativwe range.

<20 copies/mL = Target detected. Below quantitative range.
20 - 10,000,000 copies/mL = Quantitatively positive
>10,000,000 copies/mL = Positive, above linear quantitation range of assay

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

CPT Codes

87536

Collection

LAB878

Collect

One6.0 mL pink-top (EDTA plasma)filled to at least 90% capacity.

Pediatric Collection

At least 1.0 mL of whole blood collected in a 1.0 mL pink top microtainer (EDTA) or other blood tube with EDTA anticoagulant.

Unacceptable Conditions

Contaminated specimen; clotted sample; improper storage conditions; samples stored in fixatives; heparin anticoagulant; any tubes with gel; gross hemolysis; sample not properly identified; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.
Offsite: If delivered within 6 hours, centrifuge within 1 hour of collection and transport to lab at 2-25 degrees C.

 

If delivered in more than 6 hours, centrifuge within 1 hour of collection, place at least 2 mL plasma in an aliquot container, freeze at -70 degrees C and transport on dry ice.

Stability (from collection to initiation)

Before centrifugation: 1 hour.

 

After centrifugation: Ambient, 6 hours; Refrigerated, 6 hours

 

Plasma aliquot: Ambient, 24 hours; Refrigerated, 5 days; Frozen (-70 degrees C), 6 months.

Remarks

CSF is a non FDA-approved sampe type, but has been clinically validated.

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

Ordering

Performed

Mon - Fri dayshift

Methodology

Real-time PCR utilizing the Roche COBAS Ampliprep/ COBAS Taqman 96 HIV-1 test version 2.0. FDA-approved

Reported

In 5 days

Synonyms

  • LAB878
Result Interpretation

Reference Interval

TND= Target not detected. Below qualitative range.

Interpretive Data

TND = Target not detected. Below qualitativwe range.

<20 copies/mL = Target detected. Below quantitative range.
20 - 10,000,000 copies/mL = Quantitatively positive
>10,000,000 copies/mL = Positive, above linear quantitation range of assay

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

Administrative

CPT Codes

87536

HIV GENOTYPING PLUS

LAB3514
HIVGENO

Collect

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

Also acceptable: One 4.5 mL purple top tube (EDTA), filled to at least 90% capacity.

Pediatric Collection

500 microliters of plasma.

Unacceptable Conditions

Only specimens submitted in a pink or purple top tube [EDTA] will be accepted.
Viral load must be greater than 2000 copies/ml, and performed within the previous two weeks.

Also unnacceptable: Sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Refrigerate and transport immediately.

Stability (from collection to initiation)

Plasma and purple tops must be refrigerated. Freeze plasma at -20 if unable to transmit immediately

Remarks

Test requires viral load of at least 2,000 copies/ml within 14 days of genotyping request. If not available, an HIV viral load will be ordered and resulted. Results of HIV genotyping will be available 14 days after qualifying viral load.

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

Performed

Varies

Methodology

TRUEGENE HIV-1 Genotyping Kit when used in conjuction with OpenGene DNA sequencing system provides a method to obtain the sequencing-  protease and reverse transcriptase coding regions.

Reported

Varies

Synonyms

  • LAB3514
  • HIVGENO

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

CPT Codes

87901

Collection

LAB3514
HIVGENO

Collect

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

Also acceptable: One 4.5 mL purple top tube (EDTA), filled to at least 90% capacity.

Pediatric Collection

500 microliters of plasma.

Unacceptable Conditions

Only specimens submitted in a pink or purple top tube [EDTA] will be accepted.
Viral load must be greater than 2000 copies/ml, and performed within the previous two weeks.

Also unnacceptable: Sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Refrigerate and transport immediately.

Stability (from collection to initiation)

Plasma and purple tops must be refrigerated. Freeze plasma at -20 if unable to transmit immediately

Remarks

Test requires viral load of at least 2,000 copies/ml within 14 days of genotyping request. If not available, an HIV viral load will be ordered and resulted. Results of HIV genotyping will be available 14 days after qualifying viral load.

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

Ordering

Performed

Varies

Methodology

TRUEGENE HIV-1 Genotyping Kit when used in conjuction with OpenGene DNA sequencing system provides a method to obtain the sequencing-  protease and reverse transcriptase coding regions.

Reported

Varies

Synonyms

  • LAB3514
  • HIVGENO
Result Interpretation

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

Administrative

CPT Codes

87901

HIV INTEGRASE - PHENOSENSE

LAB3742

Collect

Two-5mL purple top or pink top tubes (EDTA).

Unacceptable Conditions

Nonfrozen sampes or sampels exposed to repeat freeze/thaw cycles. Serum and heparinized samples are unacceptable. HIV-1 viral load <=500 copies/mL.

Stability (from collection to initiation)

Ambient: MAXIMUM of 2 hours (plasma on cells); Refrigerated: 12 hours (EDTA plasma removed from cells ASAP); Frozen: 4 months (EDTA plasma removed from cells ASAP)

Remarks

CRITICAL FROZEN. Remove EDTA plasma from cells ASAP and freeze in polypropylene tube.
Reference lab requisition MUST be filled out completely by ID Clinic prior to shipment, including billing information. Authorization for testing must come from Dr. Steven Johnson. Viral load testing should occur within a month of sample submission, preferrably the same day, especially if values are near the cutoff value of 500 copies/mL.

Performed by

Monogram Biosciences

Reported

Up to 4 weeks.

Synonyms

  • LAB3742
  • Phenosense Integrase
  • HIVINTEGRS

Reference Interval

By report.

Drug susceptibilities for Elvitegravir and Raltigravir (Isentress) reported.

Performed by

Monogram Biosciences

CPT Codes

87903

Collection

LAB3742

Collect

Two-5mL purple top or pink top tubes (EDTA).

Unacceptable Conditions

Nonfrozen sampes or sampels exposed to repeat freeze/thaw cycles. Serum and heparinized samples are unacceptable. HIV-1 viral load <=500 copies/mL.

Stability (from collection to initiation)

Ambient: MAXIMUM of 2 hours (plasma on cells); Refrigerated: 12 hours (EDTA plasma removed from cells ASAP); Frozen: 4 months (EDTA plasma removed from cells ASAP)

Remarks

CRITICAL FROZEN. Remove EDTA plasma from cells ASAP and freeze in polypropylene tube.
Reference lab requisition MUST be filled out completely by ID Clinic prior to shipment, including billing information. Authorization for testing must come from Dr. Steven Johnson. Viral load testing should occur within a month of sample submission, preferrably the same day, especially if values are near the cutoff value of 500 copies/mL.

Performed by

Monogram Biosciences

Ordering

Reported

Up to 4 weeks.

Synonyms

  • LAB3742
  • Phenosense Integrase
  • HIVINTEGRS
Result Interpretation

Reference Interval

By report.

Drug susceptibilities for Elvitegravir and Raltigravir (Isentress) reported.

Performed by

Monogram Biosciences

Administrative

CPT Codes

87903

HIV PHENOTYPE - COMPREHENSIVE

LAB3160

Collect

 Two - 5 mL purple top [EDTA]. Centrifuge within 2 hours of collection.

Unacceptable Conditions

Nonfrozen samples or samples exposed to repeated freeze/thaw cycles. Serum and heparinized samples are unacceptable. Viral load <500 copies/mL

Storage/Transport Temperature

Internal: Deliver to lab immediatley
Offsite: 4 mL EDTA plasma frozen. (Min: 3 mL) 4 mL plasma. Remove plasma from cells ASAP and freeze in a polypropylene tube.

Stability (from collection to initiation)

Ambient: MAXIMUM of 2 hours (plasma on cells); Refrigerated: 12 hours (EDTA plasma removed from cells ASAP); Frozen: 4 months (EDTA plasma removed from cells ASAP)

Remarks

CRITICAL FROZEN. Remove EDTA plasma from cells ASAP and freeze in polypropylene tube.
Reference lab requisition MUST be filled out completely by ID Clinic prior to shipment, including billing information. Authorization for testing must come from Dr. Steven Johnson. Viral load testing should occur within a month of sample submission, preferrably the same day, especially if values are near the cutoff value of 500 copies/mL.

Performed by

Monogram Biosciences

Performed

Varies

Methodology

RT-PCR and cell expression for 21 drugs

Reported

Within 18 days

Synonyms

  • Phenosense - HIV
  • LAB3160
  • HIVPHENO

Performed by

Monogram Biosciences

CPT Codes

87903; 87904 (x11)

Collection

LAB3160

Collect

 Two - 5 mL purple top [EDTA]. Centrifuge within 2 hours of collection.

Unacceptable Conditions

Nonfrozen samples or samples exposed to repeated freeze/thaw cycles. Serum and heparinized samples are unacceptable. Viral load <500 copies/mL

Storage/Transport Temperature

Internal: Deliver to lab immediatley
Offsite: 4 mL EDTA plasma frozen. (Min: 3 mL) 4 mL plasma. Remove plasma from cells ASAP and freeze in a polypropylene tube.

Stability (from collection to initiation)

Ambient: MAXIMUM of 2 hours (plasma on cells); Refrigerated: 12 hours (EDTA plasma removed from cells ASAP); Frozen: 4 months (EDTA plasma removed from cells ASAP)

Remarks

CRITICAL FROZEN. Remove EDTA plasma from cells ASAP and freeze in polypropylene tube.
Reference lab requisition MUST be filled out completely by ID Clinic prior to shipment, including billing information. Authorization for testing must come from Dr. Steven Johnson. Viral load testing should occur within a month of sample submission, preferrably the same day, especially if values are near the cutoff value of 500 copies/mL.

Performed by

Monogram Biosciences

Ordering

Performed

Varies

Methodology

RT-PCR and cell expression for 21 drugs

Reported

Within 18 days

Synonyms

  • Phenosense - HIV
  • LAB3160
  • HIVPHENO
Result Interpretation

Performed by

Monogram Biosciences

Administrative

CPT Codes

87903; 87904 (x11)

HIV1/2 ANTIBODY/ANTIGEN SCREEN

LAB4706

HIV1/2AB/AG

Collect

One 5.0 mL gold top with gel (SST), clot activator serum.

Pediatric Collection

Minimum volume: 1.0 mL serum
 

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; pooled samples; grossly hemolyzed samples; obvious microbial contamination; heat-inactivated; cadaver specimens; other body fluids.

Storage/Transport Temperature

Internal: Deliver to lab immediately.

Offsite: Allow to clot for 30 minutes, centrifuge within 2 hours of collection, then transport to lab refrigerated/on ice (2-8 degrees C).

Stability (from collection to initiation)

Before centrifugation: Ambient, 2 hours

After centrifugation: Ambient, 3 days; Refrigerated, 7 days

Serum aliquot tube: Ambient, 3 days; Refrigerated, 7 days; Frozen (-70 degrees C), 6 months

Remarks

4th generation screening test for Human Immunodeficiency Virus that rapidly detects both HIV-1 and HIV-2 antibodies and HIV-1 p24 antigen. If the HIV Screen is positive, an HIV confirmation/differentiation test will be reflexively ordered and performed on site.

Performed

Daily

Methodology

Chemiluminescent microparticle immunoassay (CMIA)

Reported

Same day

Synonyms

  • HIV1/2AB/AG

Reference Interval

Negative

CPT Codes

87389 and, if indicated, 86689.

Collection

LAB4706

HIV1/2AB/AG

Collect

One 5.0 mL gold top with gel (SST), clot activator serum.

Pediatric Collection

Minimum volume: 1.0 mL serum
 

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; pooled samples; grossly hemolyzed samples; obvious microbial contamination; heat-inactivated; cadaver specimens; other body fluids.

Storage/Transport Temperature

Internal: Deliver to lab immediately.

Offsite: Allow to clot for 30 minutes, centrifuge within 2 hours of collection, then transport to lab refrigerated/on ice (2-8 degrees C).

Stability (from collection to initiation)

Before centrifugation: Ambient, 2 hours

After centrifugation: Ambient, 3 days; Refrigerated, 7 days

Serum aliquot tube: Ambient, 3 days; Refrigerated, 7 days; Frozen (-70 degrees C), 6 months

Remarks

4th generation screening test for Human Immunodeficiency Virus that rapidly detects both HIV-1 and HIV-2 antibodies and HIV-1 p24 antigen. If the HIV Screen is positive, an HIV confirmation/differentiation test will be reflexively ordered and performed on site.

Ordering

Performed

Daily

Methodology

Chemiluminescent microparticle immunoassay (CMIA)

Reported

Same day

Synonyms

  • HIV1/2AB/AG
Result Interpretation

Reference Interval

Negative

Administrative

CPT Codes

87389 and, if indicated, 86689.

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