Last Modified:
9/18/2023 1:50:58 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:
1.0 mL Serum in a SST Gold Top Tube
Collection Instructions:
Submission of minimum specimen requirements may be insufficient if confirmatory testing
Minimum Volume:
0.2 mL Serum
Transport & Storage: Temperature/Stability:
14 days Refrigerated
Reference Range:
Non-Reactive
Critical Ranges:
Test Comments:
If repeatedly reactive, an HIV ½ Ab Differentiation assay will be performed and charged. The HIV ½ Ab Differentiation assay is orderable as test code HVAB.
Patients taking vitamin supplements containing doses of >5 mg/day may have falsely decreased test results generated..
Methodology:
Chemiluminescence
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Days Performed:
Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Parkview Regional Medical Center
PHL Test Code:
HIV1
EPIC Test Code:
IMO31
Alternate Test Names:
HIV 1 / 2 with reflex to confirmation assay; HIV 1/2, 4th generation ; Human Immunodeficiency Virus Antibody
Included Tests:
HIV 1 Antibody; HIV 2 Antibody
CPT Coding:
87389 (Reactive 86701,86702)
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