Table 2

Interpretation of HCV screening tests

Test outcomeInterpretation
HCV antibody not detected/negativeNo prior exposure to HCV, hepatitis C negative.
HCV antibody detected/positivePresumptive diagnosis of acute or chronic hepatitis C or
past hepatitis C (either spontaneously cleared or cured with treatment).
HCV antibody detected/positive
HCV RNA detected
Current HCV infection (acute or chronic hepatitis C infection or hepatitis C reinfection).
HCV antibody detected/positive
HCV RNA not detected
No current HCV infection.
Past hepatitis C (either spontaneously cleared or cured with treatment).
False positive hepatitis C antibody test is more often seen in persons who have a low risk of infection.
HCV antibody not detected/negative
HCV RNA detected
Current HCV infection (acute or chronic hepatitis C infection or hepatitis C reinfection).
False negative hepatitis C antibody test associated with HIV, renal dialysis, organ transplantation and immunosuppression.
  • HCV, hepatitis C virus.