Hepatitis C RNA, Quantitative

General Information

Lab Name

Hepatitis C RNA, Quant

Lab Code

HCVQNT

Epic Name

Hepatitis C RNA, Quantitative

Description

The Hologic Aptima HCV Quant Dx assay is a nucleic acid amplification test that uses real-time Transcription-Mediated Amplification (TMA) technology to detect and quantify HCV RNA. It targets a conserved region of the 5' Untranslated Region (UTR) of the HCV genome, enabling detection and quantification of genotypes 1, 2, 3, 4, 5, and 6. This assay is standardized against the 2nd WHO International Standard for Hepatitis C Virus (NIBSC code: 96/798).

The lower limit of quantitation is 10 IU/mL (1.00 log IU/mL). The limit of detection, defined as the minimum virus level that yields a positive result in 95% of replicates, is 3.9 IU/mL for plasma and 3.4 IU/mL for serum.

For Tissue Biopsy, Bone Marrow, Swab, or Cellular fluid (e.g., BAL or washing that contain visible cellular material), refer to Hepatitis C Qualitative PCR, Tissue [HCVQLT].

For HCV genotyping, refer to Hepatitis C RNA Genotyping by PCR [HCPCGT].

Synonyms

HCV RNA Quant, Hepatitis C by PCR, PCR-Hepatitis C, Viral Load-Hepatitis C

Components

Code Name
HCQNR Hepatitis C Quant Result
HCVLOG HCV RNA IU/mL (Log 10)
HCQNI Hepatitis C Quant Interp

Interpretation

Method

Real-time Polymerase Chain Reaction.

Reference Range

See individual components

Guidelines

Ordering & Collection

Specimen Type

Blood

Collection

Blood: Collect 5 mL of blood in a pearl top tube (PPT).

Also Acceptable: 5 mL of blood in a gold SST, red, or lavender (EDTA) tube.

Note: Separate specimens must be submitted when both serology and PCR testing are ordered.

Unacceptable Samples: Plasma collected in sodium or lithium heparin is not acceptable.

Note: Separate specimens must be submitted when both serology and PCR testing are ordered.

Handling Instructions

Whole blood can be stored at 2 to 30°C for up to 6 hours. Plasma or serum must be separated via centrifugation in a primary tube prior to processing. Separate the plasma or serum from the red blood cells following the manufacturer’s instructions for the tube used. Plasma or serum can be tested on the Panther system in the primary tube or transferred to a secondary tube. To obtain the 500 µL reaction volume, the minimum volume of plasma or serum required for primary collection tubes is 2000 µL, while for secondary tubes, the minimum volume is 800 µL.

Quantity

requested: 2.0 mL plasma/serum
minimum: 0.8 mL Plasma/Serum secondary container

Processing

Blood: Separate plasma or serum from whole blood within 6 hours of collection, following the manufacturer’s instructions for the tube used. Freeze at -20°C or colder and ship on dry ice. If a freezer and/or dry ice is not available, ship immediately at 2 to 8°C with an ice pack. Samples may be stored in the primary tube or a secondary tube at 2 to 8°C (with an ice pack) for up to 5 days post-collection. Samples stored at 2 to 8°C for more than 5 days will be rejected. Do not freeze and thaw.

Outside Laboratory: Freeze at -20°C or colder and ship on dry ice. If a freezer and/or dry ice is not available, ship immediately at 2 to 8°C with an ice pack. Samples may be stored in the primary tube or a secondary tube at 2 to 8°C (with an ice pack) for up to 5 days post-collection. Samples stored at 2 to 8°C for more than 5 days will be rejected. Do not freeze and thaw.

Performance

LIS Dept Code

Central Lab Virology (RVIR)

Performing Location(s)

CL Virology, Renton
206-685-6656

1602 Raymond Ave SW

Renton, WA 98057-3356

206-685-6656 opt 4

Frequency

Monday and Thursday

Available STAT?

No

Billing & Coding

CPT codes

87522

LOINC

50023-1

Interfaced Order Code

UOW181