HIV-1 RNA Detection and Quantification, Plasma

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

Ph: ( ) - Fax: ( ) -

TESTS REQUESTED
Test Name:	ICD9 Code: (required)
1. HIV-1 RNA Detection and Quantification, Plasma
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

HIVBR

Test Workstation :

MAYO

Specimen Type:

Plasma

Tube Type:

Purple top (EDTA) tube

Collection Volume:

4.0 mL (minimum 2.0 mL)

Storage:

Frozen

Availability:

Sent to Reference Laboratory

Methodology:

Reverse Transcription-Polymerase Chain Reaction (RT-PCR)

Special Instructions:

Test useful for: Diagnosis of HIV1 infection in individuals with acute or early HIV1 infection. Diagnosis of HIV1 infection in infants under 18 months of age to mothers living with HIV1 infection. Quantifying plasma HIV1 RNA levels (viral load) in individuals living with HIV1 infection. Monitoring HIV1 disease progression before or during antiretroviral drug therapy. Lab centrifuge blood and pour off plasma aliquot within 2 hours. Freeze aliquoted plasma immediately.

Lab/Phone:

330-543-8418

TAT:

1-3 days

Additional Info:

Reference range available on patient report

CPT Code:

87536

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HIV-1 RNA Detection and Quantification, Plasma

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

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