Respiratory Panel, Molecular

Test Code
LAB5911 162


Alias/See Also
RPEPM
RESP PANEL
RESPIRATORY PATHOGEN
MOLECULAR
PCR


CPT Codes
87633

Includes
ADENOVIRUS DETECTION BY PCR
CHLAMYDOPHILA PNEUMONIA DETECTION BY PCR
CORONAVIRUS DETECTION BY PCR
INFLUENZA A, PCR
INFLUENZA A H3 PCR
INFLUENZA A H1 PCR
INFLUENZA A 2009 H1 PCR
INFLUENZA B, PCR
METAPNEUMOVIRUS PCR
MYCOPLASMA PNEUMONIA PCR
PARAINFLUENZA 1 PCR
PARAINFLUENZA 2 PCR
PARAINFLUENZA 3 PCR
PARAINFLUENZA 4 PCR
RSV A PCR
RSV B PCR
RHINOVIRUS-ENTEROVIRUS PCR
EPLEX INTERNAL CONTROL


Instructions

Preferred Collection: Mini-tip Swab in 1-3mL BD UTM (BD#220529)


Alternative: Mini-tip Swab in VTM

Alternative: Mini-Tip swab with Liquid Stuarts Media (green-top)



Unacceptable Grossly Bloody Collections; Double culturette swab (Red-top); Cotton tip swab; Wooden shaft swab; Calcium alginate swab; Swabs other than NP swab (eg, any thick shafted swab such as an oropharyngeal swab or nasal swab); Any transport media or NP swab type not listed in preferred or acceptable collection



Specimen Storage
1. Clinical specimens can be stored at room temperature (15–30 ºC) for up to 12
hours
2. Refrigerate at 2-8 ºC for up to 10 days after collection in transport media.


Transport Container
UTM Universal Transport Medium


Transport Temperature
Refrigerated


Specimen Stability
Specimen Storage
1. Clinical specimens can be stored at room temperature (15–30 ºC) for up to 12
hours
2. Refrigerate at 2-8 ºC for up to 10 days after collection in transport media.


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Unacceptable
Grossly Bloody Collections; Double culturette swab (Red-top); Cotton tip swab; Wooden shaft swab; Calcium alginate swab;  Swabs other than NP swab (eg, any thick shafted swab such as an oropharyngeal swab or nasal swab); Any transport media or NP swab type not listed in preferred or acceptable collection


Reference Range
Name Result Checking Type Values
Adenovirus Detection by PCR Reference Range Not Detected 
Chlamydophia pneumonia Detection by PCR Reference Range Not Detected 
Coronavirus Detection by PCR Reference Range Not Detected 
Influenza A 2009 H1 PCR Reference Range Not Detected 
Influenza A H1 PCR Reference Range Not Detected 
Influenza A H3 PCR Reference Range Not Detected 
Influenza A, PCR Reference Range Not Detected 
Influenza B, PCR Reference Range Not Detected 
Metapneumovirus PCR Reference Range Not Detected 
Mycoplasma pneumo by PCR Reference Range Not Detected 
Parainfluenza 1 PCR Reference Range Not Detected 
Parainfluenza 2 PCR Reference Range Not Detected 
Parainfluenza 3 PCR Reference Range Not Detected 
Parainfluenza 4 PCR Reference Range Not Detected 
Rhinovirus-Enterovirus PCR Reference Range Not Detected 
RSV A PCR Reference Range Not Detected 
RSV B PCR Reference Range Not Detected 


Clinical Significance
Qualitative Nucleic Acid Multiplex in vitro diagnostic test to detect: -
-Adenovirus
-Coronavirus undifferentiated serotypes HKU1, NL63, 229E, OC43
-Human metapneumovirus
-Human rhinovirus/enterovirus
-Influenza A subtypes H1, H1-2009, H3, influenza A undifferentiated subtypes (including subtype H5N1)
-Influenza B
-Parainfluenza virus serotypes 1-4
-Respiratory syncytial virus (RSV) A & B
-Mycoplasma pneumoniae
-Chlamydia pneumoniae

This assay is not predicted to detect severe acute respiratory syndrome (SARS)-associated coronavirus, SARs CoV-2, or Middle East respiratory syndrome (MERS)-coronavirus.

ePlex platform uses eSensor technology, which is based on the principles of competitive DNA hybridization and electrochemical detection.


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.