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Test Code HIVPCR HIV RNA, Quantitative, NAM

Useful For

Not useful for diagnosis of HIV-1 in adults or infants.

?This test is intended for use in conjunction with clinical presentation and other laboratory markers of disease progress for the clinical management of HIV-1 infected patients. The test can be used to assess patient prognosis by measuring the baseline HIV-1 RNA level or to monitor the effects of antiretroviral therapy by measuring changes in EDTA plasma HIV-1 RNA levels during the course of antiretroviral treatment. This test is not intended for use as a screening test for the presence of HIV-1 in blood or blood products or as a diagnostic test to confirm the presence of HIV-1 infection.  Consenting process change July 2010 - consent form is no longer required.

Synonyms/Keywords

HIV 1 Quantitative NAM, Viral Load, HIV 1

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) 2.5 mL 2.5 mL 1.5 mL

Collection/Processing Instructions

Centrifuge and separate plasma from whole blood within 24 hours of collection. Transfer plasma to a polypropylene tube dedicated to HIV Viral Load testing. Aliquot should not be a shared sample.   To ensure specimen integrity, testing will not be performed on add-on requests. Direct aliquots from primary tubes are required.

Specimen Stability Information

Specimen Type Temperature Time
Plasma Ambient 24 hrs
Refrigerate 5 days
Frozen @ -20 to -80 deg. C. > 5 days

Rejection Criteria

Anticoagulants other than EDTA
Plasma not separated from Whole Blood within 24 hours of collection
Previously opened tubes

Test Information

The Panther HIV-1 Test is an FDA approved in-vitro nucleic acid amplification test for the quantitation of Human Immunodeficiency Virus Type 1 (HIV-1) RNA in human plasma. The test can quantitate HIV-1 RNA in human plasma over the range of 30 – 10,000,000 copies/mL. One copy of HIV-1 RNA is equivalent to 1.7 ± 0.1 International Units (IU) based on the WHO 1st International Standard for HIV-1 RNA for Nucleic Acid-Based Techniques (NAT) (NIBSC 97/656).

Interpretations

Positives are reported as 30 - 10,000,000 copies/mL.
Qualitative detection of HIVRNA below 30 copies/mL is reported as <30 copies/mL with the following interpretive comment: HIVRNA is detected but is below the lower limit of quantitation (30 copies/mL).

Reference Range Information

Performing Location Reference Range
Marshfield No HIV-1 RNA detected.

Marshfield Labs Performing Department

Marshfield Labs Molecular Pathology

Performing Information

Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield Monday 6-8 hours* Nucleic Acid Amplification (NAM)
*Testing performed once/week. Sample must be received in the lab by 0700 Monday to be tested same day.

CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
87536

Outreach CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
87536

Ordering Applications

Ordering Application Description
Centricity HIV RNA, Quantitative, NAM
Cerner HIV RNA, Quantitative, NAM
COM HIV RNA, Quantitative, NAM