Thursday, September 22, 2022

Hepatitis Panel Acute W Reflex To Confirmation

Counseling Practices That Educate Support And Motivate Clients Undergoing Screening

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Clients might need help deciding whether to get screened, understanding the test results, and determining their next steps. Even when services offered through the substance abuse treatment program are limited, discussing testing with clients presents an opportunity for counselors to motivate clients for change by confronting substance use and by making choices that improve their overall health. However, this may also be true when services are offered on-site through substance abuse treatment programs. A study at one methadone clinic that offered hepatitis screening and vaccination revealed that although the majority of clients completed screening , only 54.7 percent of clients who lacked for hepatitis A received vaccinations and only 2.9 percent of clients who lacked immunity for received vaccinations .

The Consensus Panel makes the following general recommendations while recognizing that, in some programs, the counselors role may be limited:

Questions For Your Doctor About Test Results

The following questions about the results of an acute viral antibody panel may be helpful to review with a doctor:

  • What tests were included in this panel?
  • What was my test result?
  • Do I have a hepatitis infection, and if so, which type?
  • Would I benefit from hepatitis vaccination?
  • Do I need any follow-up tests based on my test result?

Hepatitis Blood Test Panel Acute

A Hepatitis Blood Test Panel includes: Hepatitis A antibody, IgM, hepatitis B core antibody, IgM, hepatitis B surface antigen, and hepatitis C antibody with reflex.

Also Known As: Acute Hepatitis Profile

Methodology:

No fasting required. Stop biotin consumption at least 72 hours prior to the collection.

Test Results:

2-3 days. May take longer based on weather, holiday or lab delays.

Also Known As: Acute Hepatitis Profile

Methodology:

No fasting required. Stop biotin consumption at least 72 hours prior to the collection.

Test Results:

2-3 days. May take longer based on weather, holiday or lab delays.

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What Do The Results Mean

Labs report hepatitis panel results in different ways:

  • A negative or normal result means you probably don’t have a hepatitis infection.
  • A positive or abnormal result may mean you have a hepatitis infection now or had an infection in the past.

For hepatitis A and B, your test results will say whether you have a current or past infection, or if you have immunity because you had a vaccination.

If your test shows that you have signs of hepatitis C, you will need another test to find out if you are infected now, or if you had an infection in the past. There is no vaccination for hepatitis C.

You may need more tests to confirm a diagnosis and to see how hepatitis has affected your liver. If you have questions about your results, talk with your provider.

Learn more about laboratory tests, reference ranges, and understanding results.

Hepatitis Panel Acute With Reflex To Confirmation

Hepatitis

CPT Code: 80074

Methodology: See individual test

Includes: Hepatitis A IgM Antibody Hepatitis B Surface Antigen with Reflex to Confirmation Hepatitis B Core Antibody Hepatitis C Antibody with Reflex to HCV, RNA, Quantitative, Real-Time PCR Hepatitis B Surface Antigen: Positive samples will be confirmed based on the manufacturer’s FDA approved recommendations at an additional charge : 87341).

If Hepatitis C Antibody is reactive, then Hepatitis C Viral RNA, Quantitative, Real-Time PCR will be performed at an additional charge : 87522).

Clinical Significance: See Individual test

Alternative Name: Not applicable

Supply: T01 – Red/Gray SST 8.5mL

Preferred Specimen: Serum

Preferred Volume: 2 FULL SST

Transport Container: Serum Separator Tube

Transport Temperature: Room Temperature

Specimen Stability: Room Temperature: See individual test

Rejection Criteria: See individual test

For additional supply or collection device information, please contact DLO’s Customer Service at 891-2917, option 2.

The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the Payor being billed.

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What Does The Test Measure

An acute viral hepatitis panel includes several tests that measure antigens and antibodies. Antigens are foreign substances such as proteins of the virus itself, while antibodies are substances produced by the immune system in response to the viral infection.

An acute viral hepatitis panel tests for antigens and/or antibodies of hepatitis A, B, and C:

Acute Viral Hepatitis Panel

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Is There A Way To Prevent Viral Hepatitis

Yes. There is a vaccine available for hepatitis A. It is recommended for all children at age one year and for people who are at an increased risk of exposure to the virus. Hepatitis A can also be prevented with good hygiene. This includes washing hands well after using the bathroom, after changing diapers, and before eating or starting any food preparation.

Effective hepatitis B vaccines have been available in the U.S. since 1981, and beginning in 1991, healthcare practitioners in the U.S. began vaccinating all newborns. Children and adolescents who were not vaccinated at birth are routinely given the series of shots. The Centers for Disease Control and Prevention also recommends that adults in high risk groups get vaccinated. Unless there is something in your medical history to the contrary, it is prudent to get the series of vaccinations.

Currently, there is no vaccine available for hepatitis C, although efforts are ongoing to develop one. Spread of hepatitis C can be prevented by avoiding exposure to blood and body fluids and the sharing of needles or other equipment to inject drugs.

How Much Does The Test Cost

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Several factors affect the cost of an acute viral hepatitis panel, including where the test is conducted, if any other tests or procedures are being performed at the same time, and whether or not the patient has health insurance that covers testing.

In addition to the panel itself, costs may include technician fees for collecting a blood sample and an additional charge for the office visit. These costs may be covered by health insurance if the acute viral antibody test is prescribed by a doctor. Patients with health insurance may still be responsible for copays, deductibles, and other charges.

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If I Have Viral Hepatitis Am I Contagious

You may be contagious it depends on which hepatitis virus you were infected with and the stage of your infection. Often, people with viral hepatitis can spread the infection even though they don’t have symptoms. With hepatitis A, you may be contagious from the time you are infected and continue to be contagious, but less so, for several weeks after symptoms, such as jaundice, develop. A person with hepatitis B is contagious as long as the virus is present in their blood. Anyone who tests positive for the presence of hepatitis C virus should be considered contagious. The HCV RNA test may be performed as follow up to a positive result for anti-HCV.

Addressing Hepatitis For The First Time

It is crucial that a treatment counselor or health professional use a nonjudgmental and compassionate tone. Clients need to feel comfortable disclosing information about their health and risky behaviors. The following strategies can help initiate the conversation:

  • Display posters, literature, or other -related items that could help prompt the client to ask questions about hepatitis. .
  • Assess clients ability to discuss , based on their degree of openness in the counseling session, the amount of detail they provide in their responses, and the length of the therapeutic relationship.
  • Raise the subject in a way that avoids making clients feel defensive or afraid. Consider introducing the subject by making parallels with other conditions that have been discussed. Say, for example, You said you were tested for HIV several times. Were you ever tested for viral ? or You mentioned that your friend is sick with HIV. Have you been tested for HCV or HIV? Tell me about those tests.
  • Be patient and allow time for multiple, short conversations about the subject. This might ease feelings of fear, anxiety, or shame.

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Discussing Screening Results With Clients

The medical personnel who ordered or arranged the screening test, not counselors, usually explain the results. Hepatitis screening should be part of the intake physical examination in an opioid treatment program, and medical personnel may report the results. However, the client may want to discuss the results with the counselor or ask the counselor questions.

Anxiety might interfere with some clients ability to comprehend or retain information, which might need to be repeated.

Suggestions for conversations with clients when the test results are negative include the following:

  • Explain results clearly and simply: So the HCV screening result was negative? This means that, as of 6 months ago, you did not have .
  • Emphasize that a negative result to an HCV test does not indicate to and that the client should take precautions to avoid . If a relapse to drug use occurs, advise clients to avoid sharing any drug paraphernalia or equipment. Specify that this includes cookers, cotton, water, needles, syringes, pipes, and straws.
  • Emphasize the importance of getting HAV and HBV vaccinations. Provide information about the availability of low- or no-cost vaccinations.

Clients whose screening test results are positive for will need additional tests and examinationsusually with doctors who specialize in diseases of the liver to get accurate diagnoses and to determine their health status and the extent of liver damage. These tests are described in .

When Should I Get An Acute Viral Hepatitis Panel

hepatitis b antibody test Gallery

An acute viral hepatitis panel may be recommended when a patient has symptoms of hepatitis, or if a person has a suspected or known exposure to a hepatitis virus. Although some patients with hepatitis have no symptoms, when present symptoms may include:

  • Fever
  • Clay-colored bowel movements
  • Jaundice

Patients that have an acute hepatitis infection may begin to experience symptoms between 2 weeks and 6 months after becoming infected. Patients with a chronic hepatitis infection may not experience symptoms until many years after infection.

Doctors may also recommend an acute viral hepatitis panel in patients with abnormal results on tests that evaluate liver function, such as a liver panel.

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Are These Tests Always Run As A Panel

No. Sometimes, if the particular hepatitis virus a person was exposed to is known, tests specific for that virus may be performed. Also, some of these tests are used for other purposes, such as monitoring the progression of disease or determining if treatment is working, and they may be run singly or in different combinations in those cases. For more about other tests used in viral hepatitis infections, see the individual articles on Hepatitis A Testing, Hepatitis B Testing, and Hepatitis C Testing.

What Other Laboratory Tests Might My Healthcare Practitioner Perform

In addition to tests for hepatitis viruses, your healthcare practitioner may choose to run tests to see how your liver has been affected. These may include a liver panel or individual liver enzyme tests such as aspartate aminotransferase , alanine aminotransferase , and alkaline phosphatase . Your healthcare practitioner may also run a test for bilirubin and a prothrombin time , which can help determine if there is liver damage.

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Is There Anything Else I Should Know

The tests that are typically included in an acute viral hepatitis panel may not always be able to tell whether someone has had a previous hepatitis infection or has developed antibodies in response to a vaccine. Usually other types of tests are performed to provide this type of information. See the individual articles on Hepatitis A Testing, Hepatitis B Testing or Hepatitis C Testing for more on this.

The presence of hepatitis A IgM antibodies in the blood are considered diagnostic for acute infection with hepatitis A when the test information is combined with a person’s signs and symptoms. When the hepatitis screening test is performed for people who do not have symptoms of acute hepatitis, the presence of hepatitis A IgM antibodies may represent a false-positive result. Therefore, the Centers for Disease Control and Prevention has recommended against using the test for screening in people without acute hepatitis symptoms to decrease the possibility of false-positive results.

How To Get Tested

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An acute viral hepatitis panel is performed after being prescribed by a doctor. This panel of tests requires one sample of blood, on which multiple tests can be conducted.

A blood sample can be taken in a hospital, lab, or other medical setting. Blood can be drawn from a vein or, in children, blood can be obtained by pricking the skin. After collection, the blood sample is sent to a laboratory for analysis.

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Educating Clients About Viral Hepatitis

Clients may believe they know about viral , but their understanding of the disease may not be accurate. It is easy to confuse the three main types of viral , B, and C. Clients may have formed impressions based on limited or incorrect information. Counselors should briefly describe hepatitis A, B, and C, including their prevalence, , and relationship to drug use, as well as to other infections, such as HIV and sexually transmitted diseases. Specific strategies for speaking with clients include:

  • Speak clearly and keep the message simple, focused, and brief.
  • Use language, examples, and concepts that the client understands.
  • Use appropriate visual aids.
  • Frame numerical statements in terms that are easy to visualize. Say 5 out of 100 people rather than 5 percent of the population say more than half instead of the majority.
  • Repeat the information at different times in different ways. The average client retains only approximately one-third of what he or she is told. Summarize essential points.
  • Pay attention to a clients response to the information. For example, if a client stiffens his or her posture, consider saying, I notice that this topic seems to make you uncomfortable. It does for a lot of people. Please tell me what youre feeling right now. Id really like to help you with this.
  • Use the opportunity to describe the potential detrimental effects of alcohol and other substance use on the liver of a person who is infected with HCV.

What Does A Hepatitis Panel Involve

Hepatitis panels are simple blood tests. They do not involve any preparation and have a very low risk of side effects.

To perform the test, a healthcare professional will insert a needle into a vein in the arm. They will collect a small blood sample in a test tube and seal it. The needle may sting a little, but the process takes only a few minutes. A person may feel a small amount of pain or bruising around the vein, but this should subside quickly.

People can also get at-home testing kits for hepatitis. These come with a sterile lancet that a person uses to prick their finger to collect the blood sample.

When using at-home kits, be sure to take safety precautions to prevent others from coming into contact with blood. Even dry blood or tiny amounts of blood can potentially transmit HBV or HCV to others.

Dispose of items that come into contact with blood in a sealed bag and wash the blood from the skin using soap. Completely cover the finger prick wound with a sterile dressing until it heals.

  • of the population have hepatitis B and have not had a vaccination
  • spent time in a facility that had a hepatitis outbreak, such as a hospital or prison
  • received a blood transfusion that did not undergo hepatitis screening

In the United States, screening eliminated HCV from donated blood in 1992. People who received blood transfusions before 1992 should ask their doctor for a hepatitis C test.

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What Does The Test Result Mean

The table below summarizes results that may be seen with a hepatitis panel that is performed to detect an infection:

Anti-hepatitis A, IgM
Positive Acute or chronic hepatitis C additional tests are required to make the determination

If other hepatitis tests are performed to help determine prior exposure or previous infection, they may indicate the following:

  • Hepatitis A antibody, total if negative, no current or previous HAV infection if positive, indicates exposure to HAV or the HAV vaccine. An IgM test must be done if an acute infection is suspected.
  • Hepatitis B core antibody, total a positive test can indicate exposure to the virus. An IgM test must be performed if an acute infection is suspected.
  • Hepatitis B surface antibody if positive, it indicates that a HBV infection has resolved depending on results of other HBV tests, a negative result may indicate that an infection has not resolved. Hepatitis B surface antibody will also be positive with a negative hepatitis B core antibody after a person has received a hepatitis B vaccine.

It is possible to be infected with more than one hepatitis virus, and an acute infection with one hepatitis virus can be superimposed on a chronic infection with a different hepatitis virus. In such cases, there may be a positive result for more than one type of virus and care must be taken when interpreting the results.

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