Respiratory Pathogen Panel, NAAT

Message
  1.  

  2. CMS ordering guidelines for reimbursement require:
    1. For immune-competent patents panel must be ordered by ID Specialist or Pulmonologist.
    2. For immune-compromised may only be ordered by ID Specialist, Pulmonologist, Oncology or Transplant.
  3. Recommendation for patients presenting with respiratory symptoms may be screened with INFLUENZA A, B, RSV, COVID-19 [LAB5211772]. If LAB5211772 is negative and respiratory infection is still strongly suspected consult with appropriate specialist for this panel.


Test Code
LAB5210633


CPT Codes
0202U

Includes
 
 
 
 
 
 

Viruses 

 
 
 
 

Viruses 

 
 
 
 

Bacteria 

 
 
 
 

Adenovirus 

 
 

Influenza A H1-2009 

 
 

Bordetella parapertussis (IS1001) 

 
 
 
 

Coronavirus 229E 

 
 

Influenza A H3 

 
 

Bordetella pertussis (ptxP) 

 
 
 
 

Coronavirus HKU1 

 
 

Influenza B 

 
 

Chlamydia pneumoniae 

 
 
 
 

Coronavirus NL63 

 
 

Parainfluenza Virus 1 

 
 

Mycoplasma pneumoniae 

 
 
 
 

Coronavirus OC43 

 
 

Parainfluenza Virus 2 

 
 

  

 
 
 
 

SARS-CoV-2 

 
 

Parainfluenza Virus 3 

 
 

  

 
 
 
 

 Human Metapneumovirus 

 
 

Parainfluenza Virus 4 

 
 

  

 
 
 
 

Human Rhinovirus/Enterovirus 

 
 

Respiratory Synctial Virus 

 
 

  

 
 
 
 

Influenza A 

 
 

  

 
 

  



Preferred Specimen
Nasopharyngeal swab collected in 3 mL of UTM/VTM transport media.
Storeroom item #4210 Universal/Viral Transport Media.  UTM/VTM are available in a variety of packaging and brands but liquid media is pink.
 



Minimum Volume
Swab immersed in 3mL UTM/VTM


Transport Container
UTM/VTM Transport Media


Transport Temperature
Refrigerated


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Repeat testing on same patient will not occur <15 days from previous same source testing.


Methodology
NAAT

FDA Status
Approved

Setup Schedule
Daily


Report Available
~ 4 Hours


Reference Range
Not Detected


Performing Laboratory
Hoag Newport / Hoag Irvine



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.