Ordering Recommendation

Detect and quantify HIV-1 in CSF.

New York DOH Approval Status

This test is New York state approved.

Specimen Required

Patient Preparation
Collect

Cerebral spinal fluid.

Specimen Preparation

Transfer 2 mL CSF to an ARUP standard transport tube (ARUP supply #15824). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at 800-522-2787. (Minimum volume: 0.7 mL)

Storage/Transport Temperature

Frozen

Unacceptable Conditions

Plasma (refer to Human Immunodeficiency Virus 1 (HIV-1) by Quantitative NAAT, Plasma, ARUP test code 3000867).

Remarks
Stability

Ambient: 24 hours (Critical: Ship FROZEN); Refrigerated: 5 days; Frozen: 30 days

Methodology

Quantitative Polymerase Chain Reaction (PCR)

Performed

Sun-Sat

Reported

1-4 days

Reference Interval

Not detected

Interpretive Data

The quantitative range of this test is 1.70-7.00 log copies/mL (50-10,000,000 copies/mL).

An interpretation of "Not Detected" does not rule out the presence of inhibitors or HIV-1 RNA concentration below the level of detection of the test. Care should be taken in the interpretation of any single viral load determination.

The clinical significance of changes in HIV-1 RNA concentration has not been fully established; however, a change of 0.5 log copies/mL may be significant.

This assay should not be used for blood donor screening, associated reentry protocols, or for screening human cells, tissues, and cellular- or tissue-based products (HCT/P).

Compliance Category

Modified FDA

Note

The limit of quantification for this RNA assay is 1.7 log copies/mL (50 copies/mL). If the assay DETECTED the presence of the virus but was not able to accurately quantify, the test result will be reported as "Detected, Not Quantified."

 

This test is intended for use in conjunction with clinical presentation and other laboratory markers as an indicator of disease prognosis. This test is also used as an aid in assessing viral response to antiretroviral treatment as measured by changes in HIV-1 RNA concentration.

Hotline History

N/A

CPT Codes

87536

Components

Component Test Code* Component Chart Name LOINC
3000873 HIV-1 Qnt by NAAT, CSF (log copies/mL) 41497-9
3000971 HIV-1 Qnt by NAAT Interp, CSF 42917-5
3000995 HIV-1 Qnt by NAAT, CSF (copies/mL) 41498-7
* 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

  • HIV quantitative
  • HIV-1 RNA
  • HIV-1 RNA Viral Load
  • HIV1 viral load monitoring
  • Human Immunodeficiency Virus 1
  • Nucleic Acid Amplification Test (NAAT)
Human Immunodeficiency Virus 1 (HIV-1) by Quantitative NAAT, CSF