Hepatitis B Immune Status Panel !!! NOTE: The contents are valid only for: 10/31/2025 !!!
| WSLH Department: | CDD - Communicable Disease Division |
| WSLH Test Code: | SS00085 |
| Day(s) Performed: | Daily, Monday- Friday |
| Turn-around Time: | 1-4 days |
| Recommended Uses: | Determination of patient's immune status to Hepatitis B virus, including pre-vaccination evaluation. |
| Pre-approval: | No |
| Contraindications: | Not intended for use in screening blood or plasma donors. |
| Additional Tests Performed: |
Hepatitis B Core IgM Antibody SS00071 and Hepatitis B Surface Antigen SS00077 testing is automatically performed if Core Antibody is positive but Surface Antibody is negative to assess for acute infection. Hepatitis B Surface Antigen Confirmatory Assay SS00079 is automatically performed if surface antigen is detected. This reflex testing will occur automatically and will incur additional charges. |
| Preparation for Collection: | |
| Specimen Requirements: | 3 ml of serum (1 ml minimum) or 7-10 ml vacutainer, no additives |
| Collection Instructions: | Routine blood draw |
| Collection Kit/Container: |
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| Requisition Form: |
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| Required Information: | Laboratory regulations require the following minimum information to be provided on the requisition form for a specimen to be accepted for testing: Patient name or unique identifier, date and time of collection, patient date of birth and sex, specimen type/site of collection, test request(s), clinician name and UPIN, and address for reporting results. Please be certain that name/identifier on the form matches that on the specimen label which is required to have a minimum of two identifiers. |
| Rejection Criteria: | Specimens that have been heat-inactivated, pooled, grossly hemolyzed, or have obvious microbial contamination. Specimens stored for more than 7 days not frozen at -20°C. Cadaveric specimens or body fluids other than human serum are unacceptable. |
| Specimen Handling: | Specimens must be stored refrigerated (2-8°C) and transported to the lab with frozen cold packs. Freeze serum if testing will not be performed within 7 days of collection. |
| Packaging Requirements: | |
| Courier Information: | This test is not eligible for fee-exempt courier service. |
| Specimen Receiving Hours: | Monday-Friday 6:00 AM - 4:30 PM, Saturday 6:30 AM - 12:30 PM |
| Results Include: | Non-reactive or Reactive for Hepatitis B Core Antibody and Non-reactive, Grayzone, or Reactive for Hepatitis B Surface Antibody with interpretation. |
| Limitations: | |
| Additional Tests Recommended: | |
| Additional Comments: | |
| Methodology: | Chemiluminescent microparticle immunoassay (CMIA) |
| Includes: | Qualitative immunoassay for the detection of Hepatitis B Core antibodies and Hepatitis B surface antibody. Testing for Hepatitis B Core IgM Antibody and Surface Antigen testing will be performed, as indicated, and additional charge(s) will be incurred. |
| Regulatory Compliance: | |
| CPT Code: | 86704, 86706 |
| Price: | $43.00, Additional charges possible based on algorithm |
| Fee Exempt Eligible: | Yes, with DHS approval only, 608-267-9003 |
| Billing and Revenue Office: | 1-800-862-1065 arbill@slh.wisc.edu |