Hepatitis C RNA Reflex Tests Are Now Available from Commercial Labs
In NYC, many Hep C patients with a positive Hep C antibody test do not get the Hep C RNA test needed to confirm infection (McGibbon et al, 2013).
Clinicians can now order a Hep C antibody test with reflex to RNA from several commercial laboratories. The reflex test confirms current Hep C infection in one step, without the need for the patient to return for a second blood draw.
Only one serum sample is usually needed for reflex testing. The laboratory will do the Hep C antibody test, and if the result is positive, the laboratory will immediately do a quantitative RNA test on the same specimen.
Hep C RNA Reflex Tests are now reimbursed under Medicaid in NYS
Reference: Half a diagnosis: gap in confirming infection among hepatitis C antibody-positive patients. Am J Med, 2013. McGibbon E, Bornschlegel K, Balter S.
Reflex Testing Information by Lab
Please call the lab to confirm specimen requirements: