Hepatitis Panel

Last Modified: 5/29/2019 2:20:14 PM

  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:
Duplicate testing on this test is not acceptable per Medicare:  Testing to only be done every 365 days
Client Notes:  
Patient Preparation: Patient should discontinue taking Biotin, Vitamin B7, or Vitamin H 48 hours before getting blood drawn.
Specimen Requirements: 5.0 mL Serum in a SST Gold Top Tube 
Collection Instructions:  
Minimum Volume: 1.0 mL Serum (4.0 mL if confirmations needed)
Transport & Storage: Temperature/Stability: 5 days Refrigerated
30 days Frozen
(Do not use frost free units that undergo repeated freeze/thaw cycles)
Reference Range:

Hepatitis A Ab: Negative
Hepatitis B Core Ab: Negative
Hepatitis B Surface Ag: Negative
Hepatitis C Ab: Negative

Critical Ranges:  
Test Comments: Hepatitis C Viral RNA, Quantitative Real-Time PCR with Reflex to Qualitative TMA (HPCQN) will be ordered and CPT 87522 charged if Hepatitis C Antibody result is borderline or positive.


HBsAg Confirmation by Neutralization will be performed and CPT 87341 charged if Hepatitis B Surface Antigen result is positive.


Patients taking vitamin supplements containing dose of >5 mg/day may have falsely decreased test results generated.


Methodology: Chemiluminescence
Clinical Significance:  
Custom Panel: No


Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Regional Medical Center
PHL Test Code: HEP3
EPIC Test Code: IMO61
Send Out Test Code: 8132 / 501X
Alternate Test Names: Acute Hepatitis Panel
Included Tests:
Hep A Virus IgM Antibody (HAV-IgM); Hep B Core IgM Antibody (HBcAb); Hep B Surface Antigen (HBsAg); Hepatitis C IgG (HCV); Interpretation
CPT Coding: 80074

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