Last Modified:
3/27/2019 3:44:26 PM
Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
2.0 mL Serum in a SST Gold Top Tube
Collection Instructions:
Minimum Volume:
1.0 mL Serum
Transport & Storage: Temperature/Stability:
72 hours Ambient (transport)
7 days Refrigerated
30 days Frozen
Reference Range:
| HIV 1 Antibody |
Negative |
| HIV 2 Antibody |
Negative |
Critical Ranges:
Test Comments:
Antibody Differentiation assay is Indeterminate or Negative, HIV-1 RNA, Qualitative, TMA will be ordered and charged
Methodology:
Immunoassay (IA)
Clinical Significance:
This HIV assay is intended to be used as an aid in discriminating between HIV-1 or HIV-2.
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Days Performed:
Monday, Tuesday, Wednesday, Thursday, Friday
Sites Performed:
Quest - Chantilly
PHL Test Code:
HVAB
EPIC Test Code:
IMO2067
Send Out Test Code:
93170
Alternate Test Names:
MultiSpot Kit
Included Tests:
HIV 1 Antibody; HIV 2 Antibody
CPT Coding:
86701 (Reflexes 87535), 86702
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