Laboratory Fee Schedule
Procedure #: MBL0218A
CPT: 87522
Synonym(s): |
Hepatitis C Virus RNA Quantification, HCV NAAT, HCV RNA |
Requisition Form |
G-2A |
Test Description |
Nucleic Acid Amplification Test (NAAT) to detect and quantify Hepatitis C Virus (HCV) RNA in serum and plasma |
Pre-Approval Needed |
N/A |
Supplemental Information Required |
N/A |
Supplemental Form(s) |
N/A |
Performed on Specimens from (sources) |
Human |
Sample/Specimen Type for Testing |
- Serum collected in Serum Separator tubes (SST) or red top tubes
- Plasma collected in purple top tubes with EDTA
|
Minimum Volume/Size Required |
At least one viable colony |
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.
|
Transport Medium |
N/A |
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.
|
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
|
Method |
RNA Quantification by Real-Time Transcription Mediated Amplification |
Turn-around Time |
5 business days |
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.
|
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
|
Additional Information |
N/A |