Leptospira DNA, Qualitative, Real-Time PCR

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This test is currently only available in Bedford CPRS. If you are a BHS provider and wish to see this test offered in BHS CPRS- please contact the BHS Laboratory. Testing performed at Quest Diagnostics.




Test Code
LEPTOSPIRA DNA,BLD(O)


CPT Codes
87798

Preferred Specimen
5 mL frozen urine collected in a sterile, plastic, leak-proof container


Minimum Volume
1 mL urine • 0.8 mL whole blood • 0.5 mL CSF


Other Acceptable Specimens
1 mL whole blood collected in an EDTA (lavender-top) tube or CSF in sterile plastic leak-proof container • 2 mL urine in Aptima®


Instructions

Urine: Collect in a sterile, plastic container with a leak-proof cap. Freeze at -20°C immediately, and transport frozen. Do not thaw.



Transport Temperature
Urine: Frozen
Whole blood/CSF: Refrigerated (cold packs)


Specimen Stability
Urine
Room temperature: Unacceptable
Refrigerated: Unacceptable
Frozen: 30 days

Whole blood/CSF
Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 30 days

Urine in Aptima ®
Room temperature: 5 days
Refrigerated: 7 days
Frozen: 30 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Urine received room temperature • Urine received refrigerated • Aptima® urine samples where the fluid level is not between the black fill lines


Methodology
Real-Time Polymerase Chain Reaction (RT-PCR)

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule
MONDAY, WEDNESDAY, FRIDAY


Report Available
1-3 DAYS


Reference Range
Not detected


Clinical Significance
PCR can be used to rapidly diagnose Leptospirosis, an infection caused by a waterborne spirochete of the genus Leptospira. In addition, testing of blood, CSF and urine may give an indication of the stage of infection.



Last Updated: November 16, 2017


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.