Viral Respiratory, Rapid Culture with Reflex [14867X]

Test Code

RVRCR

CPT Codes
87254

Includes

If Viral Respiratory, Rapid Culture Screen is Positive, then Rapid Respiratory Viruses identification will be performed at an additional charge (CPT codes(s): 87140 x7)

Preferred Specimen

3 mL Nasopharyngeal aspirate/wash or Nasopharyngeal swab

Minimum Volume

1 mL

Other Acceptable Specimens

Nasopharyngeal aspirate or Nasopharyngeal washing or Bronchial lavage/wash or Tracheal lavage/wash in sterile screw-cap container • Throat swabs on patients ≥ 2 years old in V-C-M medium (green-cap) tube or equivalent

Instructions

To maintain optimum viability, place swab or fluid into VCM (equal volumes of fluid and VCM) or equivalent and transport the specimen to the laboratory as soon as possible. Best recovery is obtained when the specimens are refrigerated at 2-8° C or kept on wet ice following collection and while in transit. If there will be a long delay before processing, specimens in VCM or equivalent should be frozen at -70° C or colder and transported on dry ice. Storage or transport at -20° C is not acceptable. Raw (unpreserved) specimens should only be refrigerated and not frozen.

Transport Temperature

Nasopharyngeal aspirate or Nasopharyngeal washing or
Bronchial lavage/wash or Tracheal lavage/wash collected in sterile
screw capped container: Refrigerated (cold packs)

All other specimens: Frozen -70° C

Specimen Stability

VCM or equivalent

Room temperature: Unacceptable

Refrigerated: 4 days

Frozen -20° C: Unacceptable

Frozen -70° C: 30 days

Raw (unpreserved) specimens

Room temperature: Unacceptable

Refrigerated: 72 hours

Frozen: Unacceptable

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Throat specimen on <2 year old patients • Specimen in
non-viral transport medium such as nucleic acid or bacterial
transport media • Non-respiratory specimens • Dry swabs
• Specimen in formalin or other fixatives • Received room
temperature or frozen -20° C

Methodology

Centrifuge-Enhanced Culture • Immunofluorescence Stain

Setup Schedule

Set up: Mon-Sat; Report available: 2-4 days

Report Available

Set up: Mon-Sat; Report available: 2-4 days

Reference Range

Negative

Clinical Significance

Diagnosis facilitates appropriate selection of antiviral drug therapy for Influenza A and RSV, and prevents inappropriate use of antibiotics.

Performing Laboratory
Quest Diagnostics Nichols Institute 14225 Newbrook Drive Chantilly, VA 20153

Last Updated: February 20, 2023

The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.