HIV 1/2 Antigen/Antibody, Fourth Generation with ReflexMain Content
Test Code: 91431
CPT Code(s): 87389
Includes: If HIV Antigen and Antibody, 4th Generation Screen is Repeatedly Reactive, HIV-1/2 Antibody Differentiation will be performed at an additional charge (CPT code(s): 86701, 86702).
If HIV-1/2 Antibody Differentiation is Indeterminate or Negative, HIV-1 RNA, Qualitative, TMA will be performed at an additional charge (CPT code(s): 87535).
Methodology: Immunoassay (IA)
Reference Range(s): HIV Ag/Ab, 4th Generation - Non-Reactive
Clinical Significance: This 4th generation HIV Ag/Ab Combo assay is intended to be used as an aid in the diagnosis of HIV1/HIV2 infection, including acute or primary HIV-1 infection.
Alternative Name(s): Fourth-Generation HIV, 4th Generation HIV
Supply: T01 - Red/Gray SST 8.5mL
Preferred Specimen: 2mL serum collected in a Serum Separator Tube (SST)
Tube must be labeled with patient identifiers and submitted only for HIV Testing. Tube should be spun after clotting and remain unopened.
Transport Container: Serum Separator Tube (SST)
Plastic screw-cap vial or original collection tube used only for HIV screen with patients name or ID number.
Transport Temperature: Room Temperature
For additional supply or collection device information, please contact DLO's Customer Service at (800) 891-2917, option 2.
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 Payor being billed.