HIV Phenotyping & Genotyping

Label Mnemonic:	HIVPHENOGT
Epic code:	LAB3335
Downtime form:	Doctor/Provider Orders - Pathology Core and Specialty Care Nursery

Commercial Mailout Laboratory
6240-8 RCP
356-8593

Specimen(s):

Plasma

Collection Medium:

	and
Pink top tube 6 mL (K2-EDTA)	and	Pink top tube 6 mL (K2-EDTA)

Minimum:

Draw TWO 6 mL pink EDTA tubes to yield at least 3 mL plasma

Rejection Criteria:

Thawed specimens.

Delivery Instructions:

Deliver to laboratory immediately after collection. Critical frozen.

Testing Schedule:

Varies

Turn Around Time:

16-25 days upon receipt at reference laboratory

Reference Range:

By report

Comments:

Viral load, performed within the last month, must be at least 500 copies/mL.

Effective 2/21/2013, the process for consent and documentation of consent for HIV testing will be done when placing an HIV order in Epic. There is no longer a need to obtain an "HIV Pre-Test Counseling Packet".

These changes align with current state law requirements for HIV testing and UI Health Care Policy, Policy Governing Human Immunodeficiency Virus (HIV) Education, Testing, Reporting and Confidentiality. The summary of consent requirements are as follows:

• For adults (18 years or older) able to consent:
  verbal consent must be obtained prior to testing.
  Written consent is not necessary for adult patients.

• For minors (less than 18 years old): Before
  undergoing HIV test, a minor must be informed that
  the legal guardian will be notified if the result is
  confirmed as positive. Minors must give written
  consent for HIV testing and treatment services. The
  consent form must note that that the legal guardian
  will be notified of confirmed positive results.

• For adults or minors unable to consent: The
  individual's guardian may give consent. If the legal
  guardian cannot be located or is unavailable, a
  health care provider may authorize an HIV test when
  the test is necessary for diagnostic purposes to
  provide appropriate urgent medical care.

HIV orders in minors will all receive retrospective audit review to make sure proper written consent has been obtained and is scanned into the patient chart in Epic.

Below are hyperlinks to the education and minor informed consent forms:

Consent for HIV-Related Testing in Minors

HIV Pre-Test Education

Methodology:

Polymerase Chain Reaction (PCR)/Culture

CPT Code:

87900, 87901, 87903, 87904 x12