Test Code EXPOSE HIV-1/2 Exposure Screen
Useful For
Identifying HIV infection in:
- the source patient involved in an exposure incident with a healthcare worker.
- OB patients with unknown HIV serostatus at time of delivery.
Do not order this test for the routine determination of HIV serostatus: Use HIV-1,2 Ab/Ag by EIA with Confirmation. (Test Code: HIVR).
Specimen Requirements
| Fasting Required | Specimen Type | Preferred Container/Tube | Acceptable Container/Tube | Specimen Volume | Specimen Minimum Volume (allows for 1 repeat) |
Pediatric Minimum Volume (no repeat) |
|---|---|---|---|---|---|---|
| No | Plasma | EDTA Pink Top Tube (PTT) | EDTA Lavender Top Tube (LTT) | 1.0 mL | 0.5 mL |
Collection/Processing Instructions
- Centrifugation and refrigerated/frozen storage must occur within 24 hours of collection for either sample type.
- EDTA plasma samples may be centrifuged immediately after collection.
- If serum is inadvertently collected (see note below), complete clot formation should take place before centrifugation.
- After centrifugation, physically separate plasma/serum from the red cells and send aliquot for analysis.
- Specimens must be free of particulate matter including fibrin.
Note: Serum can only be used for initial HIV testing, it cannot be used for Mayo HVDIP confirmation testing of REACTIVE samples.
- Specimens are stable for 24 hours at room temperature, this includes pre- & post- centrifugation time, separated or unseparated from red cells.
- Store plasma/serum specimens at 2-8oC if not tested within 24 hours of collection. Separated specimens are stable for 14 days at 2-8oC.
- For longer storage, plasma/serum may be frozen for 8 months at -20oC or colder. Samples may undergo up to 5 freeze/thaw cycles.
- Frozen samples must be completely thawed, thoroughly mixed, and centrifuged before analysis.
- For U-have testing, specimens are stable in primary tubes up to 14 days at 2-8oC (this includes plasma stored on packed red cells, serum stored on the clot, and specimens processed and stored in gel barrier blood collection tubes).
If REACTIVE, Mayo Medical Labs will require an additional 1 mL of EDTA plasma.
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Plasma | Ambient | 24 hours |
| Refrigerate | 14 days | |
| Freeze (-20oC) | 8 months |
Rejection Criteria
| Grossly icteric specimens are uninterpretable due to high background |
|---|
| Specimens containing precipitate |
| Cadaver specimens |
| Heat-inactivated specimens |
| Body fluids other than serum |
| Samples stored at room temperature for longer than 24 hours, this includes pre- and post- centrifugation time. |
| Samples stored for longer than 14 days at 2-8oC. |
| Specimens with obvious microbial contamination. |
Interpretations
Western blot analysis is no longer recommended for confirmation of HIV EIA antibody-positive results. Confirmation of HIV 1,2 antibody testing will be done by Mayo Medical Labs. This test algorithm closely follows the current CDC recommendations for HIV diagnosis. (See Centers for Disease Control and Prevention. Detection of Acute HIV Infection in Two Evaluations of a New HIV Diagnostic Testing Algorithm United States, 2011-2013. MMWR 2013;62:489-494.)
Reference Range Information
| Performing Location | Reference Range |
|---|---|
| All Performing Sites | Non-reactive |
Marshfield Labs Performing Department
Marshfield Labs Chemistry
Performing Information
| Performing Location | Day(s) Test Performed | Analytical Time | Methodology/Instrumentation |
|---|---|---|---|
| Beaver Dam | Monday through Sunday | 2 hours | Sandwich Chemilumonometric IA/Siemens Centaur |
| Weston | Monday through Sunday | 2 hours | Lateral flow immunoassay/Trinity Biotech Uni-Gold Recombigen HIV-1/2 Rapid Test |
| Eau Claire | Monday through Sunday | 2 hours | Lateral flow immunoassay/Trinity Biotech Uni-Gold Recombigen HIV-1/2 Rapid Test |
| Rice Lake | Monday through Sunday | 2 hours | Lateral flow immunoassay/OraQuick ADVANCE HIV-1/2 Rapid Test |
| Marshfield | Monday through Sunday | 2 hours | Sandwich Chemilumonometric IA/Siemens Centaur |
| Neillsville | Monday through Sunday | 2 hours | Lateral flow immunoassay/OraQuick ADVANCE HIV-1/2 Rapid Test |
| Minocqua | Monday through Sunday | 2 hours | Sandwich Chemilumonometric IA/Siemens Centaur |
| Park Falls | Monday through Sunday | 2 hours | Lateral flow immunoassay/OraQuick ADVANCE HIV-1/2 Rapid Test |
CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 87389 | 1 | HIV-1 Ag(s), with HIV-1 and HIV-2 Abs single result | For testing performed at Marshfield | |
| 86703 | 92 | 1 | HIV-1 and HIV-2 Abs single result | For testing performed at Regional Center Labs |
Ordering Applications
| Ordering Application | Description |
|---|---|
| Cerner | HIV-1/2 Exposure Screen |