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HIV Genotypic Resistance Testing (Serum/Plasma)

Published: August 9, 2026Updated: August 16, 2026

This test identifies specific genetic mutations in the HIV virus to determine whether it may be resistant to certain antiretroviral medications.

Quick summary

["Helps healthcare providers tailor treatment to your needs for better viral suppression."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
72560-6
Short code
HIV INI Susc Pnl Islt Genotyp
Synonyms
HIV INI Susc Pnl Islt Genotyp
Category
coagulation
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
genotyping
CPT
86701
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What This Test Measures

The test analyzes the virus’s genetic material (HIV genome) to detect mutations in key genes responsible for drug resistance. These mutations can affect how well your current HIV medications work. Results are reported as a sequence of letters and numbers showing which genes carry resistance-associated changes.

Why It’s Done

Doctors order this test if you’re on HIV treatment and show signs of treatment failure (like high viral loads or symptoms persisting despite therapy). It’s also used when starting new medications or if you’ve never been tested for resistance.

How It Works

A blood sample (serum or plasma) is collected and sent to a lab. The lab extracts the HIV genetic material, sequences the virus’s genes, and compares them to a database of known resistance mutations to identify any.

What to Expect Before the Test

No special preparation is needed, but you may need to fast or avoid certain medications for a few hours beforehand, depending on your doctor’s instructions. Bring your current HIV medications to discuss with your provider.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Genotypic testing is critical for managing HIV because it helps prevent drug resistance, which can make treatment harder to control. By identifying resistance early, doctors can switch to medications that work better for your specific virus, improving your chances of long-term viral suppression and reducing side effects.

Short name

HIV Genotype Test

Frequently asked questions

How long does it take to get results?
Results typically take 1–2 weeks from the time your sample is received by the lab. Your healthcare provider will contact you once they’re ready to discuss the findings.
What do my results mean?
Results show which genes in the HIV virus carry resistance mutations. If your virus has mutations linked to specific medications, your doctor may recommend changing your treatment plan. Even if no resistance is found, this test helps confirm your current medications are effective.
Can I stop taking my HIV medications while waiting for results?
No, it’s important to continue taking your HIV medications exactly as prescribed until your doctor reviews the results. Stopping could lead to treatment failure or viral rebound.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy