Last Modified:
3/27/2019 3:03:45 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
2.0 mL Plasma from a Lavender Top Tube - EDTA in a Plastic Vial
Collection Instructions:
Separate plasma from whole blood within 24 hours of collection by centrifugation. Transfer to a plastic screw-cap vial and refrigerate or freeze
Transport & Storage: Temperature/Stability:
72 hours Ambient
14 days Refrigerated
42 days Frozen
Rejection Criteria:
Gross hemolysis • Grossly lipemic
Reference Range:
Not detected
Critical Ranges:
Test Comments:
Methodology:
Polymerase Chain Reaction (PCR) • Sequencing
Clinical Significance:
For detection of mutations in the genotype 3 NS5a gene associated with resistance to NS5a inhibitors (example: daclatasvir, velpatasvir) including the Y93H polymorphism.
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
5 to 12 days
Days Performed:
Tuesday
PHL Test Code:
3GENA
EPIC Test Code:
LAB3011
Send Out Test Code:
93325
Alternate Test Names:
HCV Genotype 3 NS5a; HCV RNA Genotype 3 NS5A DRG RES
Included Tests:
CPT Coding:
87902
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