Culture, Viral, Non-Respiratory, Conventional, Body Fluids or Tissue

Test Code
689


CPT Codes
87252

Includes
Adenovirus, Cytomegalovirus, Herpes Simplex Virus Type 1, Herpes Simplex Virus Type 2, Enterovirus, and Varicella Zoster Virus

For respiratory samples please consider using the following offerings:
14867 - Viral Respiratory Rapid Culture with Reflex
14860 - Respiratory Virus Screen, DFA with Reflex to ID
91246 - Respiratory Virus Panel PCR Panel I
91233 - Respiratory Virus Panel PCR Panel IV


Preferred Specimen
2 mL body fluid or tissue/biopsy collected in VCM or equivalent


Minimum Volume
1 mL


Instructions
For body fluids add an equal volume of specimen to transport medium (VCM or equivalent). To maintain optimum viability, place swab or fluid into VCM (equal volumes of fluid and VCM) or equivalent media and transport to the laboratory as soon as possible. Best recovery is achieved when samples are frozen at -70°C or colder. Storage or transport -20°C is not acceptable.
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If frozen -70°C transport is not possible, specimens can be refrigerated at 2-8°C or kept on wet ice following collection and while in transit. Note: PCR is the preferred testing method for the detection of HSV and Enterovirus in CSF.


Transport Temperature
Frozen -70° C (dry ice)



Specimen Stability
Room temperature: Unacceptable
Refrigerated: 72 hours
Frozen -20° C: Unacceptable
Frozen -70° C: 30 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Wooden shaft and calcium alginate swabs • Dry swabs • Tissue in formalin or other fixatives • Whole blood • Bone marrow in EDTA (refer for PCR testing) • Semen • Sputum • Respiratory specimens • Urine • Conjunctival, oral or genital lesion • Skin lesion • Pleural fluid • Esophageal tissue


Methodology
Immunofluorescence Assay (IFA) • Tissue Culture

Setup Schedule
Set up: Mon-Sat; Report Available: 2-24 days


Reference Range
See Laboratory Report


Clinical Significance
Viral isolation in tissue culture remains the most sensitive method or "gold standard" for the detection of many common viruses. Successful isolation depends on the selection of the appropriate cell lines based on provisional diagnosis or symptoms and source of infection.




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.