HTLV I/II Antibody, w/Reflex to Confirmatory Assay

Last Modified: 8/25/2021 12:48:00 PM

  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 1.0 mL Serum from a Red Top Tube in a Plastic Vial 
Collection Instructions:  
Minimum Volume: 0.1 mL Serum
Transport & Storage: Temperature/Stability: Unacceptable Ambient
7 days Refrigerated (transport)
30 days Frozen
Rejection Criteria: Received Ambient
Reference Range:

Non Reactive

Critical Ranges:  
Test Comments: If the HTLV-I/II Antibody is Reactive, then HTLV-I/II, Western Blot, will be performed at an additional charge.
Methodology: Immunoassay; Immunoblot
Clinical Significance: HTLV-I is associated with adult T-cell lymphoblastic leukemia and B-cell chronic lymphocytic leukemia. HTLV-II is less common and is associated with neoplasias of the CD8 T lymphocytes. Blood donor screening began in 1998
Custom Panel: No


Turn Around Time: 4 to 5 days
Days Performed: Sunday, Monday, Wednesday, Thursday, Friday
Sites Performed: Quest - Chantilly
PHL Test Code: HTLVP
EPIC Test Code: IMO96
Send Out Test Code: 36175
Alternate Test Names: HTLV I/II Antibody, w/Reflex to Western Blot; HTLV I/II reflex to WB; HTLV I/II W/REFLEX WB
Included Tests: HTLV-I/-II Antibody; HTLV I/II, Western Blot
CPT Coding: 86790 (reflexes 86689)

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