Test Overview
Test Methodology

Immunoassay (IA) • Hemagglutination • Nucleic Acid Amplification • Transcription Mediated-Amplification (TMA)

Reference Range *

By Report

Test Details
Analytic Time

12 - 14 days

Soft Order Code
QIVFM
MiChart Code
QIVFM
Laboratory
Sendout
Reference Laboratory
Quest Valencia (93306)
Section
Special Testing
Specimen Requirements
Collection Instructions

Collect sufficient tubes to ensure required volumes can be obtained once the specimen has been spun and separated. Spin, aliquot (AND label as serum or plasma) into plastic screw capped aliquots. Send to Specimen Processing, along with the urine, refrigerated.

Yellow Top Tube
Red Top Tube
Normal Volume
6 mL serum AND 6 mL plasma AND 2 mL random urine in Aptima
Minimum Volume
4 mL serum AND 4 mL plasma AND 2 mL random urine in Aptima
Additional Information

Test includes: Donor, C. trachomatis/N. gonorrhoeae, RNA, TMA; Donor, HIV-1/-2 plus O Antibody Screen; Donor, Hepatitis B Surface Antigen Reflex to Confirm; Donor, Hepatitis B core Total Antibody; Donor, Hepatitis C Antibody (Anti-HCV); Donor, HIV-1/HBV/HCV NAT Procleix® with Reflex to HIV-1/HBV/HCV Discriminatory; Donor, West Nile Virus NAT; Donor, HTLV-I/II Antibody Screen; Donor, Cytomegalovirus (CMV) Total Antibodies; Donor, Syphilis IgG Antibody

If the Donor, Hepatitis B Surface Antigen is reactive, then Donor, Hepatitis B Surface Antigen, Confirmation will be performed at an additional charge (CPT code: 87341).
If Donor, HIV-1/HBV/HCV/NAT Procleix® with Reflex is reactive, then the Donor, HIV-1 Discriminatory (CPT code: 87535), Donor, HBV Discriminatory (CPT code: 87516), and Donor, HCV Discriminatory (CPT code: 87521) will be performed at an additional charge.

Billing
CPT Code
87491, 87591, 86703, 86704, 86803, 87801, 87798, 86790, 86644, 86780
Fee Code
AA612, AA613, AA614, AA615, AA616, AA617, AA618, AA619, AA620, AA621, AA622
NY State Approved
No