Also Known AsHepatitis C Virus Test, HCV RNA PCR Test, HCV Viral Load Test
Sample TypeBlood (Venous)
Fasting RequiredNo
Report DeliveryWithin 24 hours
Age GroupAll age groups
GenderAll
Test TypeMolecular (Real-Time PCR)
UnitsIU/mL (International Units per millilitre)
1
The Hepatitis C Virus (HCV) test is a molecular blood test that detects the presence of the Hepatitis C virus in the body by identifying its genetic material, specifically the RNA of the virus, through the Polymerase Chain Reaction (PCR) technique. The HCV PCR test is the most accurate and definitive method for confirming an active Hepatitis C infection and is significantly more sensitive than antibody-based HCV tests, which can sometimes produce false positive results due to past resolved infections or cross-reactive antibodies.
Hepatitis C is a viral infection that primarily attacks the liver and is transmitted through contact with infected blood. The most common routes of transmission in India include sharing of needles among intravenous drug users, use of unsterilised medical or dental equipment, blood transfusions received before mandatory HCV screening was introduced, and less commonly through sexual contact or mother to child transmission. What makes Hepatitis C particularly dangerous is that the majority of infected individuals, approximately 75 to 85%, develop no significant symptoms in the early stages and remain unaware of their infection for years or even decades. During this time the virus continues to damage the liver silently, progressively leading to chronic liver disease, cirrhosis, and in some cases hepatocellular carcinoma.
India is estimated to have approximately 6 to 12 million people living with chronic Hepatitis C infection, making early detection and treatment a critical public health priority.
2
Doctors prescribe an HCV test in the following situations:
Confirming an active Hepatitis C infection in patients who have tested positive on an anti-HCV antibody screening test. A positive antibody test alone does not confirm active infection as it may reflect a past resolved infection. The HCV PCR test definitively answers whether the virus is currently present in the body.
Investigating unexplained liver disease including elevated liver enzymes, chronic hepatitis, cirrhosis, or hepatocellular carcinoma where Hepatitis C is a suspected cause.
Screening high-risk individuals including intravenous drug users, recipients of blood transfusions or organ transplants before 1992 when HCV screening was not routinely performed, healthcare workers with needlestick injuries, patients on long-term haemodialysis, and individuals with HIV co-infection.
Monitoring viral load and treatment response in patients undergoing direct-acting antiviral therapy for Hepatitis C. A sustained virological response, defined as undetectable HCV RNA 12 weeks after completing treatment, confirms that the infection has been cured.
Pre-treatment assessment before initiating immunosuppressive therapy, chemotherapy, or biological agents, as these treatments can reactivate a dormant or low-level HCV infection.
Evaluating patients with unexplained fatigue, joint pain, or skin conditions such as lichen planus and cryoglobulinaemia, which are extrahepatic manifestations of chronic Hepatitis C infection.
3
The HCV PCR test detects and measures Hepatitis C virus RNA in the blood. It is available in two forms.
Qualitative HCV PCR Test
The qualitative test reports whether HCV RNA is detected or not detected in the blood sample. A detected result confirms active viral replication and current infection regardless of the quantity. This test is used when the primary clinical question is whether the virus is present or absent, such as in initial confirmation of infection or in assessing sustained virological response after treatment.
Quantitative HCV PCR Test
The quantitative test measures the exact viral load and reports it in IU/mL (International Units per millilitre). The results are interpreted as follows.
An HCV RNA level below the lower limit of detection, typically below 15 IU/mL depending on the assay, is reported as undetectable and is the treatment goal for patients on antiviral therapy.
An HCV RNA level between 15 and 800,000 IU/mL is considered low to moderate viral load. Treatment decisions are not based on viral load alone but on the genotype, liver fibrosis stage, and overall clinical picture.
An HCV RNA level above 800,000 IU/mL is considered high viral load and is associated with more aggressive liver disease progression and a greater urgency for treatment initiation.
HCV Genotyping
In patients confirmed to have active HCV infection, genotyping is often performed alongside the quantitative PCR test. There are six major HCV genotypes and genotype 3 is the most prevalent in India. Genotype identification is important as it determines the choice of direct-acting antiviral regimen and the expected duration of treatment.
4
Preparation for an HCV test is minimal.
Fasting is not required. You can eat and drink normally before sample collection. If HCV is part of a larger panel that includes fasting tests, fast as advised by your doctor. Our team confirms preparation requirements at the time of booking.
Do not stop any antiviral medications before the test unless specifically advised by your doctor. If you are on direct-acting antiviral therapy and the test is being done to monitor treatment response, continue your medication as usual before the test.
Stay normally hydrated before sample collection. Drinking water normally before the test is recommended.
Inform the phlebotomist about all current medications including antivirals, immunosuppressants, and supplements, as these are relevant to the interpretation of your HCV RNA result.
There are no dietary or lifestyle restrictions specific to the HCV test beyond the guidance above.
5
If you are booking through SecondMedic platform the HCV test price in Khammam can cost you around Rs. 3,564.
The exact price for your HCV test in Khammam will be confirmed at the time of booking through SecondMedic. If your doctor has prescribed multiple tests alongside HCV, SecondMedic health packages available in Khammam include HCV as part of a broader hepatitis or liver panel at a significantly lower combined price.
6
SecondMedic provides home sample collection for HCV test across all major areas of Khammam. You do not need to visit a lab or collection centre. A certified and trained phlebotomist comes to your home or workplace at your chosen time, collects the sample using sterile single-use equipment following full biosafety protocols, and ensures it is transported to the NABL-accredited lab within the required time window for accurate PCR processing.
Please note that SecondMedic provides free home sample collection on all tests priced above Rs. 300. Our team will check your pincode and confirm if your address in Khammam falls under our free sample collection eligibility criteria, which depends upon the lab location and phlebotomist availability.
Home collection in Khammam is available between 7 AM and 10 PM, seven days a week, including Sundays and public holidays. Enter your pincode on the booking page or call our helpline to confirm availability at your address in Khammam.
Yes, HCV test is available in Khammam through SecondMedic with home collection and walk-in options. Being a specialised PCR-based molecular test, SecondMedic ensures samples from Khammam are processed at certified molecular diagnostic laboratories with NABL accreditation.
If you are booking through SecondMedic platform the HCV test price in Khammam can cost you around Rs. 3,564. The exact price will be confirmed at the time of booking and may vary if booked as part of a broader hepatitis or liver disease panel.
Your HCV report will be delivered within 24 hours of sample collection in Khammam directly on WhatsApp and email. As a PCR-based test requiring molecular analysis, please inform our team if you have an urgent clinical or treatment-related requirement at the time of booking.
All HCV samples collected in Khammam are processed at NABL-accredited molecular diagnostic laboratories equipped with real-time PCR technology. Accurate HCV RNA quantification is critical as treatment initiation and sustained virological response assessment are directly based on these values.
Yes, SecondMedic provides home sample collection for HCV test across all major areas of Khammam. Our phlebotomists follow full biosafety protocols and ensure the sample is handled and transported under conditions that preserve RNA integrity for accurate PCR analysis.
Yes, home collection for HCV test in Khammam is available on Sundays and all public holidays between 7 AM and 10 PM. Patients on direct-acting antiviral therapy requiring regular viral load monitoring can book any day without scheduling constraints.
HCV PCR test is prescribed to confirm active Hepatitis C infection in patients who test positive on an antibody screening test and to monitor viral load suppression in patients undergoing direct-acting antiviral treatment. It is the only test that definitively confirms whether the virus is currently present and replicating in the body.
A normal HCV PCR result is reported as not detected or undetectable, meaning no Hepatitis C virus RNA was found in the blood sample. Any detectable HCV RNA above the lower limit of detection confirms active infection and requires immediate clinical evaluation and treatment planning.
A detectable HCV RNA confirms active Hepatitis C infection with ongoing viral replication, placing the liver at continuous risk of inflammation, fibrosis, and cirrhosis. High viral loads above 800,000 IU/mL are associated with more aggressive liver disease and greater urgency for initiating direct-acting antiviral treatment.
Content Reviewed By
Reviewed by:
Dr. Kovid Pandey
MBBS, General Physician
Last Reviewed: 10th Mar 2026
References
1
World Health Organization: Hepatitis C Fact Sheet, WHO, 2023
— www.who.int
2
Ministry of Health and Family Welfare, Government of India: National Viral Hepatitis Control Program, MOHFW, 2022
— www.mohfw.gov.in
3
European Association for the Study of the Liver: EASL Recommendations on Treatment of Hepatitis C, Journal of Hepatology, 2020
— pubmed.ncbi.nlm.nih.gov
4
Gower E et al.: Global Epidemiology and Genotype Distribution of the Hepatitis C Virus Infection, Journal of Hepatology, 2014
— pubmed.ncbi.nlm.nih.gov
5
Indian National Association for the Study of the Liver: Consensus Statement on Management of Hepatitis C, Journal of Clinical and Experimental Hepatology, 2019
— pubmed.ncbi.nlm.nih.gov
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