Hepatitis B Diagnostic Panel
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| WSLH Department: | CDD - Communicable Disease Division |
| WSLH Test Code: | SS00083 |
| Day(s) Performed: | Daily, Monday - Friday |
| Turn-around Time: | 1-4 days |
| Recommended Uses: | For serodiagnosis of Hepatitis B infection. |
| Pre-approval: | N |
| Contraindications: | Not intended for use in screening blood or plasma donors. |
| Additional Tests Performed: |
Hepatitis B Surface Antigen Confirmatory Assay SS00079 testing will be automatically performed if surface antigen is detected. Hepatitis B Core IgM Antibody SS00071 testing will be automatically performed when core antibody is positive and surface antibody is negative. Reflex testing is automatic based on the algorithm 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. |
| Rejection Criteria: | Specimens that have been heat-inactivated, pooled, grossly hemolyzed, or have obvious microbial contamination. Specimens stored for more than 6 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 6 days of collection. |
| Packaging Requirements: | |
| Courier Information: | This test is not eligible for fee-exempt courier service. |
| Specimen Receiving Hours: | Monday-Friday 7:45 AM - 4:30 PM, Saturday 7:45 AM - 12:00 PM |
| Results Include: | Non-reactive, Grayzone, or Reactive for each marker; final interpretation provided. |
| Limitations: | |
| Additional Tests Recommended: | |
| Additional Comments: |
| Methodology: | Chemiluminescent microparticle immunoassay (CMIA) |
| Includes: | Qualitative immunoassay for Hepatitis B virus detection. Panel includes tests for surface antigen, surface antibody, and core antibody. Hepatitis B Core IgM Antibody and Hepatitis B Surface Antigen Confirmatory testing will be performed, if indicated, and additional charges will be incurred. |
| Regulatory Compliance: |
| CPT Code: | 86704, 86706, 87340 |
| Price: | $66.00, 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 |