Hepatitis B Surface Antigen

Laboratory Fee Schedule
Procedure: MBK0213A
CPT: 87340

Synonym(s): HBsAg, HBV, HBAG
Requisition Form G-2A
Test DescriptionA qualitative enzyme immunoassay for the detection of Hepatitis B Surface Antigen (HBsAg) in human serum.
Pre-Approval NeededN/A
Supplemental Information Required N/A
Supplemental Form(s) N/A
Performed on Specimens from (sources) Human
Sample/Specimen Type for Testing Serum
Minimum Volume/Size Required500 µL
Storage/Preservation Prior to Shipping
  • Store serum at 2°C to 8°C for up to 48 hours.
  • For storage longer than 48 hours, store at -20°C or below until tested.
Transport MediumN/A
Specimen Labeling 
  • Two patient-specific identifiers required on specimen (e.g., patient full name, date of birth, medical record number)
  • Three patient identifiers are preferred.
  • Patient identifiers on specimen label must exactly match identifiers on submission form (e.g., abbreviated name on label and full name on form is not acceptable).
  • Additional DSHS Laboratory specimen labeling guidelines available online here. 
Shipping and Specimen Handling Requirements
  • Ship according to Dangerous Goods Regulations, IATA, and/or CFR 49.
  • Category B Biological Substance, UN3373 shipping requirements apply. 
  • Handle as infectious agent using universal precautions. 
  • Triple-contain in accordance with federal shipping regulations for infectious agents. 
  • Submitters are responsible for packaging and shipping specimens according to regulatory requirements. 
  • If specimens will arrive at the Lab within 5 days of collection, refrigerate at 2°C–8°C and ship overnight on cold packs.
  • If specimens will arrive at the Lab more than 5 days after date of collection, freeze at -20°C or below, and ship overnight on dry ice.
  • Additional DSHS Laboratory specimen shipping guidelines online here. 
MethodEnzyme-Linked Immunosorbent Assay (ELISA)
Turn-around Time4 working days
Interferences/Limitations 
  • A person who has been vaccinated for hepatitis B may have transient reactivity for up to 18 days.
Common Causes for Rejection 
  • Insufficient specimen quantity.
  • Unacceptable specimen type or source.
  • Improper shipping conditions.
  • Expired media or collection container.
  • Expired reagents/media/collection container.
  • Discrepancies between G-2A submission form and specimen label.
  • Missing/incomplete/illegible submission form or label.
Additional Information 
  • A designation of reactive for HBsAg must not be based on a single reactive test result. Reactive specimens will automatically reflex to confirmatory testing.