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Alphabetical Index
HIV 1/2 Ag-Ab with Reflex (LAB001997)
Test Mnemonic:

HIV Ag-Ab Multiplex
Specimen Requirements:
Test Included:

Samples are screened for antibodies to HIV-I and HIV-II and for HIV-I P24 antigen. If the screening test is reactive, a confirmation test (HIV 1/2 Supplementation) is performed for HIV-I and HIV-II as appropriate.
Collection:

Serum separator tube (SST) (Preferred), Plasma separator tube (PST)
Container:

Gold top, Tiger top or light green top tube
Storage/Transport:

Deliver to Sample Management within 2 hours of collection.
Stability:

24 hours at  room temperature.  Refrigerated for 7 days.
Causes for Rejection:

Specimen from individuals less than 2 years of age.  Specimens containing particulate matter, specimens containing sodium azide, heat-inactivated specimens, bacterial contamination ,incomplete request/consent forms, incomplete and/or incorrect sample identification, improper storage/transport, and gross hemolysis and lipemia, leaking container, poured over sample.
Specimen Preparation:

Allow specimen to clot completely at room temperature. Centrifuge to separate serum from cells within 2 hours of collection.
Methodology:

Chemiluminescence
Performed:

HVL Chemistry
Turnaround Time:

Routine: 8 hours, ASAP: 4 hours.  Confirmation of positives requires 3 – 7 days 
Reference Range:

Non-Reactive
CPT 4 Code:

87309
Note:

This test has not been validated for individuals less than 2 year of age.

A consent form signed by patient, witness, and ordering physician must be completed for each specimen for inpatient testing and placed in the patient's chart. For non-UTMB patients, the physician is responsible for obtaining written consent and performing appropriate counseling for the test. To ensure irrefutable identification, the laboratory strongly recommends that the original collection tube be submitted to the laboratory for this test.
Clinical Indication:

Possible HIV-1 or HIV-2 infection.
Effective Date: 03/20/2019
Reviewed By/Date: 0 - 01/01/1900
Approved By/Date: Okorodudu, Anthony - 12/20/2022
When ordering tests for which Medicare or Medicaid reimbursement will be sought, physicians should only order tests that are medically necessary for the diagnosis or treatment of the patient. Components of the organ or disease panels may be ordered individually. The diagnostic information must substantiate all tests ordered and must be in the form of an ICD-10 code or its verbal equivalent.

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