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Test Code LAB1235218 Hepatitis B Core Total Antibody

Performing Laboratory

Asante Rogue Regional Medical Center

Specimen Minimum Volume

0.75 mL

Billing Code

3020048

Specimen Transport Temperature and Stability

Centrifuge and refrigerate within 2 hours of collection

Serum stable 4 days refrigerated at 2° to 8° C

Freeze for longer storage

Reasons for Rejection

Icterus

Lipemia

Hemolysis

Quantity not sufficient (QNS)

Lack of Two Patient Identifiers:

         1-Patient’s First & Last name 

         2-Patient’s Date of Birth

Day(s) Test Set Up

Tests are performed Monday through Friday.

Positive results are called to physician

Positive results also require public health reporting and follow-up

Additional Information

Hepatitis B core antibodies (anti-HBc Ab) appear shortly after the onset of symptoms of hepatitis B infection and soon after the appearance of hepatitis B surface antigen (HBsAg). Initially, anti-HBc Ab consist almost entirely of the IgM class, followed by appearance of anti-HBc IgG, for which there is no commercial diagnostic assay.

 

The anti-HBc total antibodies test, which detects both IgM and IgG antibodies, and the test for anti-HBc IgM antibodies may be the only markers of a recent hepatitis B infection detectable in the "window period." The window period begins with the clearance of HBsAg and ends with the appearance of antibodies to hepatitis B surface antigen (anti-HBs Ab). Anti-HBc total Ab may be the only serologic marker remaining years after exposure to hepatitis B.

Methodology

Chemiluminescence (CLIA)

Performing Department

Chemistry

Test Classification and CPT Coding

86704