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Test Name

Autoimmune Hepatitis Differential Panel for Hep-C Patient

CPT Code(s)

86038, 86255, 83516, 86376, 83520

Includes

ANA Screen, IFA, with Reflex to Titer and Pattern; Mitochondrial Antibody with Reflex to Titer; Actin (Smooth Muscle) Antibody (IgG); Liver Kidney Microsomal (LKM-1) Antibody (IgG); Soluble Liver Antigen (SLA) Autoantibody

If ANA Screen, IFA is positive, then ANA Titer and Pattern will be performed at an additional charge (CPT code(s): 86039).
If Mitochondrial Antibody Screen is positive, Mitochondrial Antibody Titer will be performed at an additional charge (CPT code(s): 86256).

Methodology

See individual tests

Reference Range(s)

See individual tests

Clinical Significance

Currently, patients diagnosed with autoimmune hepatitis or other autoimmune conditions are contraindicated for certain Hepatitis C therapies due to exacerbations of symptoms from peginterferon and ribavirin. Therefore this panel would be suitable for evaluation.

Alternative Name(s)

Hepatitis C-Infected Patient

To view specimen requirements and codes please Select a regional laboratory.

Not sure which laboratory serves your office? Call us 866-MYQUEST (866-697-8378)

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

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 payer being billed.

* The tests listed by specialist are a select group of tests offered. For a complete list of Quest Diagnostics tests, please refer to our Directory of Services.

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Autoimmune Hepatitis Differential Panel for Hep-C Patient
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