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St. John Health System
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STD (Sexually Transmitted Disease) Profile

Order Name STD Profile
Test Number: 6906281
Revision Date 04/20/2020
Test Name Methodology LOINC Code
Hepatitis B Surface Antibody, IgG
Chemiluminescence Assay  
Hepatitis B Surface Antigen
Chemiluminescence Assay 5195-3 
Hepatitis C Antibody (HCV Ab)
Chemiluminescence Assay 16128-1 
Hepatitis A Antibody (HAV), IgM
Chemiluminescence Assay 22314-9 
Hepatitis B Core IgM Antibody
Chemiluminescence Assay  
Herpes Simplex Virus Type 1 and Type 2 Antibodies IgG
Chemiluminescence Assay  
Herpes Simplex Virus Type 1/2 IgM IFA
Indirect Fluorescent Antibody  
HIV Antigen/Antibody Screen, 4th Gen
Immunoassay (IA) 56888-1 
SPECIMEN REQUIREMENTS
Specimen Specimen Volume (min) Specimen Type Specimen Container Transport Environment
Preferred See Instructions See Instructions See Instructions Refrigerated
Instructions Hepatitis B Surface Antigen and Antibody, Hepatitis C Antibody (HCV Ab); Hepatitis A Antibody (HAV), IgM; Hepatitis B Core IgM Antibody;  Herpes Simplex Virus Type 1 and Type 2 Antibodies IgG:
7mL(4mL) Serum Clot Activator SST, Refrigerated

Herpes Simplex 1 and 2 IgM Antibody:
0.5mL(0.1 mL) Serum Clot Activator SST, Refrigerated
Separate from cells ASAP or within 2 hours of collection.

HIV Antigen/Antibody Screen, 4th Gen:
Please submit UN-OPENED Serum Separator tube.
Allow to 15-20 minutes to clot then Centrifuge - Do Not Open!
Specimen Stability: Room temperature: 72 hours, Refrigerated: 5 days, Frozen: 30 days.
Keep Specimens Refrigerated for best stability.
GENERAL INFORMATION
Testing Schedule Varies 
Expected TAT Assay Dependant 
Notes HIV-1/2 Antibody Differentiation will be performed at an additional charge (CPT code(s): 86701, 86702).
Reflex Order code: HIV-1/2 Antibody Differentiation [3609707]
Reflex Result code: HIV 1 Antibody [3609713]  LOINC: 68961-2
Reflex Result code: HIV 2 Antibody [3609717]  LOINC: 81641-3

If HIV-1/2 Antibody Differentiation is Indeterminate or Negative, HIV-1 RNA, Qualitative, TMA will be performed at an additional charge (CPT code(s): 87535).
Reflex Order code: HIV-1 RNA, Qualitative TMA [3609719]
Reflex Result code: HIV-1 RNA,QL TMA [3609719] LOINC: 25835-0
 
CPT Code(s) 86706, 87340, 86803, 86709, 86705, 86695x2, 86696x2, 87389
(possilbe HIV reflex testing: 86701, 86702, 87535)
Internal Comments
 
12/26/17 removed tiger - JK
6/12/18  JK removed from special processing:  HIV Antigen/Antibody Screen, 4th Gen:
Two Tubes 3.0mL ea (min 2.0mL ea) Serum Clot Activator SST, Refrigerated
Please submit TWO UN-OPENED Serum Separator tubes.
Allow to 15-20 minutes to clot then Centrifuge - Do Not Open!
Tube 1: Used for Initial testing
Tube 2: Used for Confirmation testing.
Specimen Stability: Room temperature: 72 hours, Refrigerated: 5 days, Frozen: 30 days.

Keep Specimens Refrigerated for best stability.
If testing cannot be started within 5 Days of collection, please submit the following:
One 2mL(1mL) Frozen Serum Aliquot tube - and -
One Un-Opened Clot Activator SST, Spun down and Frozen.
4/20/2020 replaced 5564505 - Herpes Simplex 1 and 2 IgM Antibody with 3537938 - Herpes Simplex Virus Type 1/2 IgM IFA  - JK
CPT Change from 86706, 87340, 86803, 86709, 86705, 86695, 86696, 86694, 87389
(possilbe HIV reflex testing: 86701, 86702, 87535)
(add CPT 86695, 86696 if Reflexed to .HSV 1/2 IgM by IFA)
to
4/20/20 removed reflex text
If the HSV 1/2 IgM is equivocal or positive to the following test code is reflexed. (not available to order by itself only as reflex)
Order Code [3537938.HSV 1/2 IgM by IFA
Result Code: [5580700] Herpes Simplex Type 1 IgM by IFA - LOINC: 50758-2 
Result Code: [3537943] Herpes Simplex Type 2 IgM by IFA - LOINC: 26927-4
 
Service Provided By Labcorp Oklahoma, Inc.
Lab Section Labcorp Oklahoma, Inc. Immunology