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Test Code DIALH2 DIALYSIS HEPATITIS

Important Note

Testing includes: Hepatitis B Surface Antigen, Hepatitis B Surface Antibody, Hepatitis B Core Antibody, and Hepatitis C Antibody.

This test is subject to reflex testing, see Laboratory Reflex Testing Policy, you have the option to decline reflex testing if you believe it is not medically necessary. Samples testing positive for the Hepatitis B Surface Antigen will have confirmatory testing Hepatitis B Surface Antigen Confirmation done at an additional charge. If Hepatitis C Antibody is reactive, HCV RNA Detection Quantitation by PCR will be performed at an additional charge.


HBSAG is Subject to Medicare Preventive Service Coverage policy for Screening for Sexually Transmitted Infections (STI's) and High Intensity Behavioral Counseling (HIBC) to Prevent STI's.

Test subject to Medicare National Coverage Determination (NCD), see individual tests. 

When ordering a custom panel, Medicare requires the clinician confirm each test in the panel is medically necessary for the patient’s treatment. By regulation, annually we will send a physician acknowledgement letter to ordering clinicians requesting a signature attesting to medical necessity review.

Additional Codes

Primary ID

Epic Code

Mayo Access ID

DIALH2

LAB2050 N/A

 

Specimen Information

Container

Specimen

Temperature

Collect Vol

Submit Vol

Minimum Vol

Stability
SST Serum

Refrigerate

4 mL 2.5 mL 1.5 mL 7 days

 

Test Schedule / Analytical Time / Test Priority

Monday – Friday / 1 day / Not available STAT

Method

Chemiluminescence Immunoassay

Instrumentation

Siemens ADVIA Centaur XPT

Reference Range

See individual tests.

Section

Chemistry-2

Performing Location

University of Vermont Medical Center

Is the UVMMC lab NY State Certified to perform this testing?  Yes/No

Yes

CPT's

Description CPT Code
Hepatitis B Surface Antigen 87340
Hepatitis B Surface Antibody 86706
Hepatitis B Core Antibody 86704
Hepatitis C Antibody 86803