Attention A T users. To access the menus on this page please perform the following steps. 1. Please switch auto forms mode to off. 2. Hit enter to expand a main menu option (Health, Benefits, etc). 3. To enter and activate the submenu links, hit the down arrow. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links.

Viral Hepatitis

Quick Links

Veterans Crisis Line Badge
My healthevet badge

Hepatitis C Virus Antibody Screening Flow Chart

for Health Care Providers

Hepatitis C Virus Antibody Screening Flow Chart

Hepatitis C Virus Antibody Screening Flow Chart

Outline Version

History of positive test for hepatitis C virus antibody:

  • Perform confirmatory test for viremia.
    • If positive: Individual patient care decisions regarding counseling, further testing and potential treatment options are necessary. These should be based upon current literature or performed within approved research protocols.
    • If negative: Patient unlikely to have chronic hepatitis C. Consider RIBA to rule out false positive for Ab.

No history of positive test for hepatitis C virus antibody:

  • Presence or history of risk factors listed in the VA HCV Antibody Screening Guidelines
    • If none: low priority for HCV antibody screening; not recommended unless at patient's request
    • If present: recommend:
      1) Counseling for risk behaviors
      2) Screening for HCV antibody (eg EIA)
      3) Measure ALT if not yet done
      • If HCV Positive: Perform confirmatory test for viremia
        • If positive: Individual patient care decisions regarding counseling, further testing and potential treatment options are necessary. These should be based upon current literature or performed within approved research protocols.
        • If negative: Patient unlikely to have chronic hepatitis C. Consider RIBA to rule out false positive for Ab.
      • If HCV Negative: Patient unlikely to have chronic hepatitis C.