Last Modified:
10/6/2011 6:21:02 AM
Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:
HIV ABN Form: For acceptable narrative descriptions and ICD-9 information see Addendum C
Specimen Requirements:
1.0 mL Serum in a SST Red Top Yellow Ring 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
Test Comments:
If repeatedly reactive, an HIV-1 Antibody Confirmation by Western Blot will be performed and charged.
Methodology:
Chemiluminescence
Custom Panel:
No
PRODUCTION SCHEDULE
Days Performed:
Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Parkview Regional Medical Center
PHL Test Code:
HIV
Alternate Test Names:
Human Immunodeficiency Virus Antibody
Included Tests:
HIV 1 Antibody; HIV 2 Antibody
CPT Coding:
86703 (Reactive 86689)
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