CONGENTIAL CMV, SALIVA AND URINE, QUAL, PCR

Message

Qualitative CMV testing on Neonatal patients <= 21 days old. ALL positive swab samples will need confirmation with a urine sample.

Test Code

LAB1231035

CPT Codes
87496

Preferred Specimen

Saliva flocked swab specimen transported in a BD UVT (1mL or 3mL), Remel M4RT, M4, and M6 transport media or urine specimens.

Minimum Volume

Saliva flocked swab specimen in transport media: 1mL
Urine: 500uL

Other Acceptable Specimens

None

Transport Temperature

Frozen

Specimen Stability

Saliva flocked swab with media: 7 days at 2-8°C, 14 days at -20°C (frozen is recommended for transport).
Urine: 3 days at -20°C (frozen is recommended for transport).

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

Wooden swabs, calcium alginate swabs, any media not validated at WVUH, eSwabs will be rejectd, ORA collect swabs will be rejected

Methodology
Polymerase Chain Reaction (PCR) - Diasorin Simplexa Congential CMV Direct Assay (FDA Cleared)

Setup Schedule

Daily (Sunday-Saturday)

Reference Range

Negative

Clinical Significance

Congenital CMV is the leading non-genetic cause of childhood hearing loss and a significant cause of neurodevelopmental delays like cognitive deficit and vision impairment.

Performing Laboratory
West Virginia University Hospital, Inc.

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.