HIV-1 RNA Detection and Quantification, Plasma

Infectious Disease Laboratories : Immunology

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
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SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

HIVBR 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 HIV-1 infection in individuals with acute or early HIV-1 infection. Diagnosis of HIV-1 infection in infants under 18 months of age to mothers living with HIV-1 infection. Quantifying plasma HIV-1 RNA levels (viral load) in individuals living with HIV-1 infection. Monitoring HIV-1 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