HSV 1 and 2 Amplification Assay, Cutaneous/Mucocutaneous

Test Code

LAB8005 749

Alias/See Also

HSV
HERPES
HSV 1
HSV 2
HSVDNA
DERMAL
SKIN
GENITAL
CUTANEOUS
MUCOCUTANEOUS
PCR
HERPES SIMPLEX

CPT Codes
87798 (2)

Includes

HSV 1 AMPLIFIED PROBE
HSV 2 AMPLIFIED PROBE

Instructions

Lesion/mouth/ocular –

1. Collect lesion and dermal specimen using the culture swab with plastic shaft.

2. Carefully insert swab into site to be tested and roll swab 5 times.

3. Place swab in vial of medium.

4. Break swab shaft at score marking, replace cap tightly.

5. Label tube with patient name, MRN or DOB, and appropriately document source, collection date/time and collector.

Genital

1. Collect specimen from cervix, penis, rectum, urethra, vagina, or other genital site using a culture swab with plastic shaft.

2. Carefully insert swab into site to be tested and roll swab 5 times.

3. Place swab in vial of medium.

4. Break swab shaft at score marking, replace cap tightly.

5. Label tube with patient's name, MRN or DOB, and appropriately document source, collection date/time and collector.

Preferred Source:
Varies
NOTE - Specimen source is required. Source information must include the main anatomical site of collection – “skin” is not sufficient.

Preferred Collection:

Alternate Collection:

Unacceptable Source: Tissue, Body Fluid, Blood
Unacceptable Container -Unlabeled or improperly labeled specimens. -Cotton or Calcium alginate-tipped swab. -Swab with wooden shaft. -Culturette swab containing transport gel. -Dry swab. -Specimen collections other than swab.

Transport Container

UTM Universal Transport Medium

Transport Temperature

Refrigerated

Specimen Stability

Samples may be stored:
15° to 30°C for 48 hours
2° to 8°C for up to 7 days
=-70°C for up to 30 days

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

Unacceptable Source:
Tissue, Body Fluid, Blood

Unacceptable Container
-Unlabeled or improperly labeled specimens.
-Cotton or Calcium alginate-tipped swab.
-Swab with wooden shaft.
-Culturette swab containing transport gel.
-Dry swab.
-Specimen collections other than swab.

Reference Range

HSV 1 Amplified Probe: Not Detected

HSV 2 Amplified Probe: Not Detected

Clinical Significance

An in vitro diagnostic test for the qualitative detection of herpes simplex virus type 1 (HSV1) and herpes simplex virus type 2 (HSV2) viral DNA in cutaneous or mucocutaneous lesions (dermal lesions, mouth lesions and genital lesions, etc) samples from symptomatic patients.

The amplification and detection of target sequences is performed using isothermal Helicase-Dependent amplification (HDA) in the presence of target-specific fluorescence probes.

Performing Laboratory
MWH LAB

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.