HIV-1/2 Antigen and Antibodies, Fourth Generation, with Reflexes

Cleveland HeartLab H, Test

NEW YORK DOH APPROVED: YES

CPT Code:

HIV-1/2 Antigen and Antibodies, Fourth Generation, with Reflexes: 87389
HIV-1/2 Antibody Differentiation (Reflex Only): 86701, 86702 (if reflexed)
HIV-1 RNA, Qualitative, TMA: 87535 (if reflexed)

Order Code:

HIV-1/2 Antigen and Antibodies, Fourth Generation, with Reflexes: 91431
HIV-1/2 Antibody Differentiation: 901698
HIV-1 RNA, Qualitative, TMA: 16185

Includes:

HIV-1/2 Antigen and Antibodies, Fourth Generation, with Reflexes: HIV Ag/Ab, 4th Generation
If HIV Antigen and Antibody, 4th Generation Screen is Repeatedly Reactive, HIV-1/2 Antibody Differentiation will be performed at an additional charge (CPT codes: 86701, 86702).
HIV-1/2 Antibody Differentiation: HIV 1 Antibody, HIV 2 Antibody
If HIV-1/2 Antibody Differentiation is Indeterminate or Negative, HIV-1 RNA, Qualitative, TMA will be performed at an additional charge (CPT code 87535).
HIV-1 RNA, Qualitative, TMA: HIV-1 RNA, Qualitative TMA

HIV Testing Pathway Algorithm: https://www.questdiagnostics.com/hcp/intguide/InfectDis/HIV/TS_HIV4thGenScreen_Figure.pdf

ABN Requirement:
No
Specimen: Serum
Volume:  3.0 mL
Minimum Volume:  2.0 mL
Container: Gel-barrier tube (SST, Tiger Top)

Collection:

  1. Collect and label sample according to standard protocols.
  2. Gently invert tube 5 times immediately after draw. DO NOT SHAKE.
  3. Allow blood to clot 30 minutes.
  4. Centrifuge for 10 minutes.

Special Specimen Collection Instructions: Tube must be labeled with patient identifiers and submitted only for HIV testing. Tube should be spun after clotting and remain unopened.

Transport: Store serum at 2°C to 8°C after collection and ship the same day per packaging instructions provided with the Cleveland HeartLab shipping box.

Stability:

Ambient (15-25°C): 72 hours
Refrigerated (2-8°C):
5 days
Frozen (-20°C):
30 days

Causes for Rejection: Specimens other than serum; improper labeling; samples not stored properly; samples older than stability limits

Methodology: Immunoassay (IA)

Turn Around Time:  2 to 3 days

Reference Range:

 Reference Range
HIV Ag/Ab, 4th GenerationNon-Reactive

Clinical Significance: This 4th generation HIV Ag/Ab Combo assay is intended to be used as an aid in the diagnosis of HIV1/HIV2 infection, including acute or primary HIV-1 infection.

The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.