Herpes simplex Virus 1/2, PCR

Test Code
HSVPR


Alias/See Also
HSV DNA, PCR
HSV PCR


CPT Codes
87529 x2

Preferred Specimen
1.0 mL of CSF
2.0 mL blood
FLOQ swab in UTM


Minimum Volume
0.3 mL of CSF
1.0 mL of whole blood
FLOQ Swab in UTM


Other Acceptable Specimens
Dermal, eye, nasal, throat, cervix, vagina, urethra, anal/rectal, other genital sources


Transport Container
Sterile screw top container, No additive red top, EDTA (lavendar top), Sodium Citrate (blue top), FLOQ swabs in UTM


Transport Temperature
Refrigerated


Specimen Stability
Room Temperature: 48 hours
Refrigerated: 7 days
Frozen: 7days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Heparinized plasma, CoPan e Swab, other Calcium alginate-tipped swab, wood swab, or transport swab containing gel


Methodology
Real Time Polymerase Chain Reaction (RT PCR)

Setup Schedule
Monday through Friday.  Neonatal testing will be performed Monday through Sunday.


Report Available
1 to 2 days


Clinical Significance
DNA testing is analytically more sensitive than culture, especially in patients with encephalitis or meningitis. DNA testing may be useful in diagnosis of infection in neonates. Neonates who have been exposed to HSV can develop disseminated infection and encephalitis. Encephalitis is usually due to HSV I whereas meningitis is usually due to HSV II. DNA testing provides reliable means to define the type.




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.