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hepatitis panel, acute
Synonyms: Hep Panel 
Computer Code: HEPM
Specimen Collection: 3 mL whole blood (gold top preferred, red top acceptable). 
Minimum Volume: 3 mL 
Handling Instructions for Offsite Areas: Allow to clot, centrifuge for 20 minutes, refrigerate. Serum must be removed from red top tube. 
Reference Values: Negative. See Addendum XII for interpretation. Includes: Hepatitis B Surface AG 5/wk Hepatitis C AB 5/wk Hepatitis B Core AB IgM 2/wk Hepatitis A AB IgM 2/wk See Addendum XII  
Lab Code: SI 
Requisition: HEP/ VIRUS
Test Frequency: 2/week see individual tests 
Routine TAT: 3-4 days 
Stat TAT: NA 
CPT Code(s): 80074 
LCD or NCD: (NCD) http://www.cms.hhs.gov/mcd/index_section.asp?ncd_sections=40 
Methodology Used: 77
See Addendum XVII

Albany Medical Center
43 New Scotland Avenue
Albany, NY, 12208
Date: 11/26/2015
Time: 00:10:51 (24hr)