Surrogate Test Panel & Directory
Chlamydia trachomatis/Neisseria gonorrhea Amplified DNA Assay
CPT: 87491, 87591
Specimen: Urine or Swab
Collection: BD ProbeTec Urine Preservative Transport (UPT) or Swab
Shipping: Ambient
Stability: UPT: Ambient - 30 days; Refrigerated - 30 days; Frozen - 2 months
Swab: Ambient - 6 days; Refrigerated - 30 days; Frozen - Unacceptable
Method: Strand Displacement Amplification (SDA)/ Fluorescent Energy Transfer (ET)
Approved by FDA for Donor Screening License # K012351
Hepatitis B Core Antibody Total
CPT: 86704
Specimen: Serum
Collection: Tiger SST
Shipping: Ambient
Stability: Refrigerated – 7 days; Frozen – Longer than 7 days
Method: Enzyme-Linked Immunosorbent Assay
Approved by FDA for Donor Screening License #1236
Hepatitis B Surface Antigen
CPT: 87340
Specimen: Serum
Collection: Tiger SST
Shipping: Ambient
Stability: Refrigerated – 7 days; Frozen – Longer than 7 days
Method: Enzyme-Linked Immunosorbent Assay
Approved by FDA for Donor Screening License #1109
Hepatitis C Antibody
CPT: 86803
Specimen: Serum
Collection: Tiger SST
Shipping: Ambient
Stability: Refrigerated – 7 days; Frozen – Longer than 7 days
Method: Enzyme-Linked Immunosorbent Assay
Approved by FDA for Donor Screening License #1236
MPX (HIV/HCV/HBV)
CPT: 87516, 87521, 87535
Specimen: Plasma
Collection: Lavender (EDTA)
Shipping: Ambient
Stability: Ambient - 3 days; Refrigerated – 5 days
Method: Real time PCR
Approved by FDA Donor Screening License #1636
HIV 1/2+O Antibody Screen
CPT: 86703
Specimen: Serum
Collection: Tiger SST
Shipping: Ambient
Stability: Refrigerated – 7 days; Frozen – Longer than 7 days
Method: Enzyme-Linked Immunosorbent Assay
Approved by FDA for Donor Screening License #1109
RPR
CPT: 86592
Specimen: Serum
Collection: Tiger SST
Shipping: Ambient
Stability: Refrigerated – 7 days; Frozen – Longer than 7 days
Method: Flocculation
Cleared by FDA for Donor Screening
WNV
CPT: 87798
Specimen: Plasma
Collection: Lavender (EDTA)
Shipping: Ambient
Stability: Ambient - 3 days; Refrigerated – 5 days
Method: Real time PCR
Note: FDA recommends performing WNV testing on samples collected from June 1st through October 31st
Approved by FDA Donor Screening License #1636
