Laboratory Fee Schedule
Procedure #: MBL0218A
CPT: 87522
| Synonym(s): | Hepatitis C Virus RNA Quantification, HCV NAAT, HCV RNA |
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| Requisition Form | G-2A |
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| Test Description | Nucleic Acid Amplification Test (NAAT) to detect and quantify Hepatitis C Virus (HCV) RNA in serum and plasma |
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| Pre-Approval Needed | N/A |
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| Supplemental Information Required | N/A |
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| Supplemental Form(s) | N/A |
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| Performed on Specimens from (sources) | Human |
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| Sample/Specimen Type for Testing | - Serum collected in Serum Separator tubes (SST) or red top tubes
- Plasma collected in purple top tubes with EDTA
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| Minimum Volume/Size Required | At least one viable colony |
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| Storage/Preservation Prior to Shipping | - Store at 2°C to 8°C for up to 5 days.
- Store frozen at -20°C or colder for up to 60 days.
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| Transport Medium | N/A |
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| Specimen Labeling | - Two patient-specific identifiers required (e.g., patient full name, date of birth, Medical record number)
- Identifiers on specimen must exactly match submission form.
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| Shipping and Specimen Handling Requirements | - Ship according to Dangerous Goods Regulations, IATA, and/or CFR 49.
- Handle as infectious agent using universal precautions.
- Triple contained in accordance with federal shipping regulations for infectious agents. Additional forms & resources
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| Method | RNA Quantification by Real-Time Transcription Mediated Amplification |
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| Turn-around Time | 5 business days |
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| Interferences/Limitations | - Reliable results are dependent on adequate specimen collection, transport, storage, and processing.
- Though rare, mutations within the highly conserved regions of the viral genome covered by the primers and/or probe in this assay may result in failure to detect the virus.
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| Common Causes for Rejection | - Insufficient quantity
- Unacceptable specimen type or source
- Improper shipping conditions
- Expired media or collection container
- Discrepancies between specimen label and submission form
- Incomplete or missing submission form
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| Additional Information | N/A |
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