Ordering Recommendation

Intended for infants born to hepatitis B (HBV) infected women to assess infant’s response to initial vaccination and/or enable early detection of HBV infection.

Mnemonic
HBV PAN PN
Methodology

Qualitative Chemiluminescent Immunoassay/Quantitative Chemiluminescent Immunoassay

Performed

Sun-Sat

Reported

Within 24 hours

New York DOH Approval Status
This test is New York DOH approved.
Specimen Required
Patient Preparation
Collect

Serum Separator Tube (SST). Also acceptable: Lavender (EDTA) or Pink (K2EDTA).

Specimen Preparation

Separate from cells ASAP or within 2 hours of collection. Transfer 3 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 1.5 mL)

Storage/Transport Temperature

Refrigerated.

Unacceptable Conditions

Heparinized plasma. Specimens containing particulate material. Heat-inactivated, severely hemolyzed or lipemic specimens.

Remarks
Stability

After separation from cells: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: Indefinitely (avoid repeated freeze/thaw cycles)

Reference Interval
Test Number
Components
Reference Interval
0020090 Hepatitis B Virus Surface Antibody
Less than 10.00 IU/L Negative
Greater than or equal to 10.00 IU/L Positive

0020089 Hepatitis B Virus Surface Antigen with Reflex to Confirmation
Test Number
Components
Reference Interval
Hepatitis B Virus Surface Antigen Negative
0020128 Hepatitis B Virus Surface Antigen, Confirmation Refer to report

Interpretive Data

This panel of assays should not be used for blood donor screening, associated re-entry protocols, or for screening Human Cell, Tissues and Cellular and Tissue-Based Products (HCT/P).

Compliance Category

FDA

Note

Performed and Reported times indicated are for screening of Hepatitis B Surface Ag w/ Reflex to Conf and Hepatitis B Virus Surface Antibody. If results for Hepatitis B Surface Ag w/ Reflex to Conf screen is repeatedly reactive with an index value between 1.00 and 50.00, then Hepatitis B Virus Surface Ag, Confirm will be added. Additional charges apply.

Hotline History
N/A
CPT Codes

86317; 87340; if reflexed, add 87341

Components
Component Test Code* Component Chart Name LOINC
0020089 Hepatitis B Surface Antigen 65633-0
0020090 Hepatitis B Surface Antibody 5193-8
2014286 Hepatitis B Panel Interp 48767-8
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.
Aliases
  • HBsAg
  • HBsAg screen
  • HBV Surface Antigen
  • Hep B Surface Antigen
  • Hepatitis B PVST Panel
  • Hepatitis Bs Ag
  • PVST for infants born to HBV-infected mothers, HBV Panel
  • PVST Panel, Postvaccination Serologic Testing of Infants Born to Hepatitis B-infected Mothers
Hepatitis B Virus (HBV) Perinatal Exposure Follow-up by CIA, Panel