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Needlestick Protocol - Source/Patient, Serum

Code: 30008
Keywords/Mnemonics: needlestick, exposure, HIV, Rapid HIV
Updated: 01/09/2009

Specimen Required:

1 serum separator tube (SST) or 2 ml serum for HBsAg and Anti-HCV and 1 EDTA tube for rapid HIV 1/2

A needlestick is defined by CDC follows:

  • Percutaneous innoculation with a needle or any instrument contaminated with patient blood or saliva, or
  • Patient blood or saliva contact with an open wound, non-intact skin or mucous membrane.
Patient Prep: None
Reference Values:

Nonreactive (Rapid HIV 1/2)
Nonreactive (HBsAg)
Nonreactive (Anti-HCV)
Reactive HBV Surface Antigen will reflex HBV Surface Antigen Confirmation (#30003)
Reactive/indeterminate result for HCV will reflex HCV RNA
Detection/Quanitation and enough sample is available.  If not enough sample, #30081 HCV RIBA will reflex.
Positive results for rapid HIV are sent for confirmatory testing at an additional charge.

 

Days Performed: Daily
Days Reported: Daily
Interference:

For Hepatitis testing, specimens containing fibrin clots, red blood cells or particulate matter may give inconsistent results.

Rejection:

For Hepatitis tests:
Non-refrigerated specimens over 8 hours old.
Non-separated specimens over 8 hours old.
Lipemic specimens.
Hemolyzed specimens.

Methodology:

Microparticle Enzyme immunoassay [MEIA]

CPT Code(s): 86703
86803
87340

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