Hepatitis Acute Panel
| PATIENT INFO |
| Patient Name: |
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| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
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| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Hepatitis Acute Panel | |
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| SPECIMEN INFO |
| Collection Date & Time: |
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Test ID :
HACTP
Test Workstation :
E8011
Specimen Type:
Blood
Tube Type:
SST (serum separator tube,no anticoagulant)
Collection Volume:
7.5 mL (minimum 5.0 mL)
Minimum Volume:
1.5 mL
Preferred Volume:
3 mL
Storage:
Shipping- Send Refrigerated; Storage-Refrigerated: 6 days; Frozen: 3 months
Availability:
24 hours/day, 7 days/week
Methodology:
See Individual tests
Special Instructions:
If Hepatitis C Antibody is positive, a confirmatory test will be performed. If the Hepatitis B Surface Antigen is initially reactive, a confirming test will be performed at an additional cost.
If confirmatory testing is required, SST serum is the only acceptable specimen type.
Lab/Phone:
330-543-8418
Additional Info:
Reference range: Non-Reactive
CPT Code:
80074
Panel Includes:
Hep Bs Ag; Hep B Core Ab, IgM; Hep A Ab, IgM; Hep C Ab
