Hepatitis C Ab with Reflex to PCR
| PATIENT INFO |
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| PHYSICIAN INFO |
| Physician Name : |
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| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Hepatitis C Ab with Reflex to PCR | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
HEPCR
Test Workstation :
E8011
Specimen Type:
Blood
Tube Type:
SST (serum separator tube,no anticoagulant)
Collection Volume:
3.0 mL (minimum 1.5 mL)
Minimum Volume:
1.5 mL
Preferred Volume:
1.5 mL
Storage:
Shipping- Send Refrigerated; Storage-Room Temp: 3 days; Refrigerated: 21 days; Frozen: 3 months
Availability:
24 hours/day, 7 days/week
Methodology:
Roche-Electrochemiluminescence Immunoassay sandwich principle
Lab/Phone:
330-543-8418
TAT:
4 hours
Additional Info:
If Hepatitis C Virus antibody is reactive, then Hepatitis C Virus RNA will be performed at an additional charge. Serum separator tube (SST) is the only acceptable specimen type for confirmatory testing.
CPT Code:
86803
