Inactivated/Replace Test

Effective Date

10/26/2022

Included in Report

Inactivated Test

FIFTH GENERATION HIV AG/AB (DIAGNOSTIC) REFLEX TO HIV1/HIV2 SUPPLEMENTAL ASSAY

Inactivated Test Details

Mnemonic

HIVA

Ordering Code

3010685

CPT-4 Codes(s)

87389, plus 86701, 86702 if reflexed to Differentiation, at additional cost

Replacement Test Details

Mnemonic

HIV4A

Ordering Code

3400695

CPT-4 Codes(s)

87389, plus 86701, 86702, 87535 if reflexed, at additional charges.