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93871: Hepatitis C Viral RNA Genotype, LIPA with Reflex to HCV NS5a Drug Resistance Print View
HCV RNA, Genotype, LiPA(R)      

PRIMARY
1 Plasma EDTA 3 (1.2) mL   Room Temperature - 72 Hour(s)/Refrigerated - 14 Day(s)/Frozen - 42 Day(s)  
ALTERNATE
  PPT Potassium EDTA(white)   Frozen - 42 Day(s)/Room Temperature - 72 Hour(s)/Refrigerated - 14 Day(s)  
  Serum 3 (1.2) mL   Room Temperature - 72 Hour(s)/Refrigerated - 14 Day(s)/Frozen - 42 Day(s)  

A hepatitis C (HCV) genotype is required prior to the initiation of antiviral therapy with direct acting agents. In addition, the FDA package insert recommends baseline NS5a resistance testing for HCV genotype 1a patients being evaluated for treatment with Zepatier(TM), which contains the NS5a inhibitor elbasvir and the NS3 protease inhibitor grazoprevir. This reflex code offer clinicians the option to obtain both the HCV genotype and NS5a resistance testing with a single test order when considering treatment with Zepatier(TM) or in other circumstances where both tests are warranted.

Freshly drawn specimens (whole blood) may be stored at 2-25 degrees
centigrade for up to 24 hours prior to centrifugation. Separate plasma
or serum from cells within 24 hours of collection by centrifugation.
Follow manufacturer's instructions for collection tube handling.
Setup Schedule
Sunday-Saturday

Reported (Analytical Time)
5 days

CPT Code
87902

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.

Notes
Transport Temperature: Refrigerated Reject Criteria: Whole blood samples greater than 24 hours; frozen whole blood Methodology: Multi-Probe Reverse Hybridization; Polymerase Chain Reaction and DNA Sequencing Additional Information: If HCV Genotype, LiPA is "GENOTYPE 1", "GENOTYPE 1a", or "GENOTYPE 1a OR 1b" then reflex Hepatitis C Viral RNA Genotype 1 NS5a Drug Resistance will be performed at additional charge (CPT code(s): 87902).






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