Spreadsheet: 14b7fdee-e771-4436-a2e8-9c077c37ac08
Sheet: Sheet1

Test Referenced | Entry Type | Mayo ID | Description | Reporting Description | Method | Collection Container | Temperature | Stability | [NAME] | Unit of Measure | [NAME] | Minimum Volume | Reject Due To | Reference Values | Days/Times Performed | Analytic Time | Maximum Lab Time | CPT Units | CPT Code | LOINC® Code | LOINC® Attributes | Always Performed | Orderable Separately | Performing Location
HV1CM | Test | HV1CM | HIV-1 and HIV-2 Antibody Screen for Hemolyzed Specimens, Serum | HIV-1/-2 Ab Screen Hemolyzed, S | Enzyme Immunoassay (EIA)-Screening Procedure |  |  |  | 1.5 | mL | Collection Container/Tube: Serum gel	 Submission Container/Tube: Plastic vial [NAME]: 1.5 mL Collection Instructions: Spin down and remove serum from clot within 24 hours. Additional Information:  1. If this test is ordered as a follow-up evaluation of a specimen with a reactive rapid HIV antibody test result, clients must call Mayo Medical Laboratories at [PHONE] or [PHONE] to add supplemental testing by Western blot if the initial EIA result is negative. 2. Indicate if specimens are from autopsy/cadaver sources so that the proper FDA-licensed assay can be performed. 3. All tests in the WBAR/23878 HIV-1/-2 Antibody Confirmatory Evaluation, Serum have not been FDA-approved for testing on cadaveric specimens. 4. For testing hemolyzed specimens from symptomatic patients (ie, diagnostic purposes) with or without risk factors for HIV infection, order HV1CD/83628 HIV-1 and HIV-2 Antibodies for Cadaveric or Hemolyzed Specimens, Serum. | 1 mL | Hemolysis	Mild OK; Gross OK Thawing	Warm reject; Cold OK Lipemia	Mild OK; [NAME] OK Icterus	Mild OK; [NAME] OK Other	NA | Negative See HIV Serologic Interpretive Guide in Special Instructions for further interpretive information. | Monday, Wednesday, Friday; Varies | Same day/1 day | Varies | 1 | G0432 |  |  |  |  | Rochester
HV1CM | [NAME] | SST | Serum SST |  |  |  | Frozen
HV1CM | Result | 60357 | HIV-1/-2 Ab Screen Hemolyzed, S | HIV-1/-2 Ab Screen Hemolyzed, S | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 44480-2
HV1CM | [NAME] | HIVFA | HIV-1 Antibody Confirmation by Immunofluorescence, Serum | HIV-1 Ab Confirm by IFA, S | Indirect Immunofluorescence Assay | Serum Gel Tube: SGT |  |  | 1.2 | mL | Collection Container/Tube: Serum gel	 Submission Container/Tube: Plastic vial [NAME]: 1.2 mL Forms: If not ordering electronically, submit a General Request Form (Supply T239) with the specimen. | 0.1 mL | Hemolysis	Mild OK; Gross reject Thawing	Warm reject; Cold OK Lipemia	Mild OK; Gross reject Icterus	Mild OK; Gross reject Other	NA | Negative See HIV Serologic Interpretive Guide in Special Instructions for further interpretive information. | Monday through Friday; 10 a.m. | 1 day | 2 days | 1 | 86689 |  |  | No | Yes
HIVFA | [NAME] | SST | Serum SST |  |  |  | Frozen
HIVFA | Result | 81758 | HIV-1 Ab Confirm by IFA, S | HIV-1 Ab Confirm by IFA, S | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 14092-1
HV1CM | [NAME] | HIV2 | HIV-2 Antibody Evaluation, Serum | HIV-2 Ab Eval, S | Enzyme Immunoassay (EIA) | Serum Gel Tube: SGT |  |  | 1.2 | mL | Collection Container/Tube: Serum gel	 Submission Container/Tube: Plastic vial [NAME]: 1.2 mL | 0.2 mL | Hemolysis	Mild OK; Gross reject Thawing	Warm reject; Cold OK Lipemia	Mild OK; Gross reject Icterus	Mild OK; Gross reject Other	NA | Negative See HIV Serologic Interpretive Guide in Special Instructions for further interpretive information. | Monday through Friday; Varies | One day. Approximately 1 week for the reflex confirmation result to be returned. | 3 days | 1 | 86702 |  |  | No | Yes
HIV2 | [NAME] | SST | Serum SST |  |  |  | Frozen
HIV2 | Result | 86702 | HIV-2 Ab Eval, S | HIV-2 Ab Eval, S | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 30361-0
HIV2 | [NAME] | HIV2L | HIV-2 Antibody Confirmation, Serum | HIV-2 Ab Confirmation, S | Line Immunoassay (LIA) | Serum Gel Tube: SGT |  |  | 0.5 | mL | Collection Container/Tube: Serum gel	 Submission Container/Tube: Plastic vial [NAME]: 0.5 mL | 0.2 mL | Hemolysis	Mild OK; Gross OK Thawing	Warm reject; Cold OK Lipemia	Mild OK; [NAME] OK Icterus	NA Other	NA | Negative  This confirmatory assay should be ordered only on specimens that are reactive by an anti-HIV-2 screening immunoassay. | Monday; 3 p.m. | 5 Days | 9 Days | 1 | 86689 |  |  | No | Yes
HIV2L | [NAME] | SST | Serum SST |  |  |  | Frozen
HIV2L | Result | 61785 | HIV-2 Ab Confirmation, S | HIV-2 Ab Confirmation, S | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
HV1CM | [NAME] | WBAR | HIV-1/-2 Antibody Confirmatory Evaluation, Serum | HIV-1/-2 Ab Confirm Eval, S | Western Blot | Serum Gel Tube: SGT |  |  | 1.6 | mL | Collection Container/Tube: Serum gel	 Submission Container/Tube: Plastic vial [NAME]: 1.6 mL Collection Instructions: Spin down and remove serum from clot within 24 hours. | 0.4 mL | Hemolysis	Mild OK; Gross OK Thawing	Warm reject; Cold OK Lipemia	Mild OK; [NAME] OK Icterus	NA Other	NA | Negative See HIV Serologic Interpretive Guide in Special Instructions for further interpretive information.   If this test is ordered as a follow-up test on a patient with a reactive rapid HIV antibody test result, Centers for Disease Control and Prevention (CDC) recommends supplemental testing with WB, even if routine antibody screening result is negative. | Monday through Friday; Varies | 1 day | 3 days | 1 | 86689 |  |  | No | Yes
WBAR | [NAME] | SST | Serum SST |  |  |  | Frozen
WBAR | Result | 9190 | HIV-1 Ab Confirm Western Blot, S | HIV-1 Ab Confirm Western Blot, S | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5221-7
WBAR | [NAME] | HIVFA | HIV-1 Antibody Confirmation by Immunofluorescence, Serum | HIV-1 Ab Confirm by IFA, S | Indirect Immunofluorescence Assay | Serum Gel Tube: SGT |  |  | 1.2 | mL | Collection Container/Tube: Serum gel	 Submission Container/Tube: Plastic vial [NAME]: 1.2 mL Forms: If not ordering electronically, submit a General Request Form (Supply T239) with the specimen. | 0.1 mL | Hemolysis	Mild OK; Gross reject Thawing	Warm reject; Cold OK Lipemia	Mild OK; Gross reject Icterus	Mild OK; Gross reject Other	NA | Negative See HIV Serologic Interpretive Guide in Special Instructions for further interpretive information. | Monday through Friday; 10 a.m. | 1 day | 2 days | 1 | 86689 |  |  | No | Yes
HIVFA | [NAME] | SST | Serum SST |  |  |  | Frozen
HIVFA | Result | 81758 | HIV-1 Ab Confirm by IFA, S | HIV-1 Ab Confirm by IFA, S | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 14092-1
WBAR | [NAME] | HIV2 | HIV-2 Antibody Evaluation, Serum | HIV-2 Ab Eval, S | Enzyme Immunoassay (EIA) | Serum Gel Tube: SGT |  |  | 1.2 | mL | Collection Container/Tube: Serum gel	 Submission Container/Tube: Plastic vial [NAME]: 1.2 mL | 0.2 mL | Hemolysis	Mild OK; Gross reject Thawing	Warm reject; Cold OK Lipemia	Mild OK; Gross reject Icterus	Mild OK; Gross reject Other	NA | Negative See HIV Serologic Interpretive Guide in Special Instructions for further interpretive information. | Monday through Friday; Varies | One day. Approximately 1 week for the reflex confirmation result to be returned. | 3 days | 1 | 86702 |  |  | No | Yes
HIV2 | [NAME] | SST | Serum SST |  |  |  | Frozen
HIV2 | Result | 86702 | HIV-2 Ab Eval, S | HIV-2 Ab Eval, S | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 30361-0
HIV2 | [NAME] | HIV2L | HIV-2 Antibody Confirmation, Serum | HIV-2 Ab Confirmation, S | Line Immunoassay (LIA) | Serum Gel Tube: SGT |  |  | 0.5 | mL | Collection Container/Tube: Serum gel	 Submission Container/Tube: Plastic vial [NAME]: 0.5 mL | 0.2 mL | Hemolysis	Mild OK; Gross OK Thawing	Warm reject; Cold OK Lipemia	Mild OK; [NAME] OK Icterus	NA Other	NA | Negative  This confirmatory assay should be ordered only on specimens that are reactive by an anti-HIV-2 screening immunoassay. | Monday; 3 p.m. | 5 Days | 9 Days | 1 | 86689 |  |  | No | Yes
WBAR | [NAME] | HIV2L | HIV-2 Antibody Confirmation, Serum | HIV-2 Ab Confirmation, S | Line Immunoassay (LIA) | Serum Gel Tube: SGT |  |  | 0.5 | mL | Collection Container/Tube: Serum gel	 Submission Container/Tube: Plastic vial [NAME]: 0.5 mL | 0.2 mL | Hemolysis	Mild OK; Gross OK Thawing	Warm reject; Cold OK Lipemia	Mild OK; [NAME] OK Icterus	NA Other	NA | Negative  This confirmatory assay should be ordered only on specimens that are reactive by an anti-HIV-2 screening immunoassay. | Monday; 3 p.m. | 5 Days | 9 Days | 1 | 86689 |  |  | No | Yes
HIV2L | [NAME] | SST | Serum SST |  |  |  | Frozen
HIV2L | Result | 61785 | HIV-2 Ab Confirmation, S | HIV-2 Ab Confirmation, S | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
HV1CM | [NAME] | HIV2L | HIV-2 Antibody Confirmation, Serum | HIV-2 Ab Confirmation, S | Line Immunoassay (LIA) | Serum Gel Tube: SGT |  |  | 0.5 | mL | Collection Container/Tube: Serum gel	 Submission Container/Tube: Plastic vial [NAME]: 0.5 mL | 0.2 mL | Hemolysis	Mild OK; Gross OK Thawing	Warm reject; Cold OK Lipemia	Mild OK; [NAME] OK Icterus	NA Other	NA | Negative  This confirmatory assay should be ordered only on specimens that are reactive by an anti-HIV-2 screening immunoassay. | Monday; 3 p.m. | 5 Days | 9 Days | 1 | 86689 |  |  | No | Yes
HIV2L | [NAME] | SST | Serum SST |  |  |  | Frozen
HIV2L | Result | 61785 | HIV-2 Ab Confirmation, S | HIV-2 Ab Confirmation, S | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process