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Test ID: CHSUP
Chronic Hepatitis Profile (Type Unknown)

List Fee Provides the Mayo Medical Laboratories list fee for performing the test

$264.40

The following test(s) may be added per the testing algorithm: 

$130.50 for #84396 Hepatitis Bs Antigen Confirmation, Serum

Test Classification Provides information regarding the medical device classification for laboratory test kits and reagents. Tests may be classified as cleared or approved by the US Food and Drug Administration (FDA) and used per manufacturer's instructions, or as products that do not undergo full FDA review and approval, and are then labeled as an Analyte Specific Reagent (ASR), Investigation Use Only (IUO) product, or a Research Use Only (RUO) product.

This test has been cleared or approved by the U.S. Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.

CPT Code Information Provides guidance in determining the appropriate Current Procedural Terminology (CPT) code(s) information for each test or profile. The listed CPT codes reflect Mayo Medical Laboratories interpretation of CPT coding requirements. It is the responsibility of each laboratory to determine correct CPT codes to use for billing.

86704-Hepatitis B core total antibodies

86706-Hepatitis B surface antibody, qualitative/quantitative

86803-Hepatitis C antibody screen

87340-Hepatitis B surface antigen

87341-Hepatitis B surface antigen confirmation (if appropriate)