Ordering Recommendation

Use for hepatitis B virus (HBV) and hepatitis C virus (HCV) prenatal screening. If initial result is positive for HCV, test reflexes to quantitative nucleic acid amplification (NAAT) to confirm HCV infection.

New York DOH Approval Status

This test is New York state 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: 2.5 mL).

Storage/Transport Temperature

Frozen

Unacceptable Conditions

Specimen: Body fluids other than serum or plasma.
Condition: Heparinized plasma. Specimens containing particulate material or obvious microbial contamination. Heat-inactivated, severely hemolyzed, or lipemic specimens.

Remarks
Stability

After separation from cells: Ambient: 24 hours; Refrigerated: 6 days; Frozen: 2 months (avoid freeze/thaw cycles)

Methodology

Qualitative Chemiluminescent Immunoassay (CLIA)/Quantitative Polymerase Chain Reaction (PCR)

Performed

Sun-Sat

Reported

1-4 days
Within 24 hours. If reflexed, add 1-3 days.

Reference Interval

Test Number
Components
Reference Interval
  Hepatitis C Antibody by CIA Interp Negative
  Hepatitis B Surface Antigen, Prenatal Negative

Interpretive Data

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


Components
Interpretation
Hepatitis C Antibody by CIA Index 0.79 IV or less: Negative
0.80 to 0.99 IV: Equivocal
1.00 to 10.99 IV: Low Positive
11.00 IV or greater: High Positive

Compliance Category

FDA

Note

Order this test only for prenatal specimens. If results for HBsAg screen are reactive (≥1.0), then HBsAg Confirmation, Prenatal will be added. Additional charges apply.

If the anti-HCV screening result is low positive or high positive, the Hepatitis C Virus (HCV) by Quantitative NAAT will be added. Additional charges apply.

This test requires a dedicated transport tube submitted only for PRENAT HEP testing.

Hotline History

N/A

CPT Codes

87340; 86803; if reflexed, add 87341; 87522

Components

Component Test Code* Component Chart Name LOINC
0020099 Hepatitis C Antibody by CIA Interp 13955-0
2002404 Hepatitis C Antibody by CIA Index 57006-9
2007574 Hepatitis B Surface Antigen, Prenatal 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

  • Anti-HCV
  • HCV Ab
  • HCV Antibody
  • HCVAB, Serum
  • Hepatitis B surface antigen, prenatal
  • Hepatitis C Viral Antibody, Serum
  • Hepatitis C Virus (HCV) Antibody With Reflex to Quantitative Real-time PCR, prenatal
  • non-A, non-B Hepatitis
  • Prenatal HBsAg confirmation
  • Prenatal hepatitis C Antibody with Reflex to HCV RNA Quantitative Real-Time PCR
  • Prenatal hepatitis C Antibody with Reflex to Hepatitis C Virus RNA Quantitative Real-Time PCR
  • Prenatal Reflexive Panel
Prenatal Hepatitis Panel