Pneumocystis jirovecii, Quantitative Real-Time PCR : 18834

Test Code
PJQN or 18834


Alias/See Also
Pneumocystis pneumonia


CPT Codes
87799

Transport Container
1 mL (0.5 mL minimum) bronchoalveolar lavage or bronchial wash collected in sterile, leak-proof container.


Transport Temperature
Refrigerated.


Specimen Stability
Room temperature: 48 hours; Refrigerated 7 days; Frozen: 30 days


Methodology
Real-Time Polymerase Chain Reaction

Setup Schedule
Daily


Report Available
1 day 


Limitations
Laboratory test results should always be considered in the context of clinical observations. This test was developed, and its performance characteristics determined by Quest Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration (FDA). The FDA has determined that such clearance or approval is not necessary. This test is used for clinical purposes. It should not be regarded as investigational for research. This laboratory is certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) as qualified to perform high complexity clinical laboratory testing. 


Reference Range
Not Detected.


Clinical Significance
This test is intended for HIV-positive and immunocompromised individuals with clinical presentation and/or radiographic findings consistent with P. jirovecii infection. This test can be used to aid in the diagnosis of P. jirovecii pneumonia (PCP) enabling the initiation of specific therapy. The PCR test has higher sensitivity and specificity when compared to alternative diagnostic methods such as staining (GMS, Calcofluor white, DFA), (1,3) β-D-glucan test or imaging studies. Due to the analytical sensitivity of this assay, the test can be positive in colonized individuals without clinical evidence of PCP. The reportable range of this test is 250 to 125,000,000 copies/mL (2.40 to 8.10 Log copies/mL). The results of this test should be interpreted in the context of pertinent clinical findings and history.

Reference:
1. Bateman M, et al. Medical Mycology. 2020;58 :1015-1028


Performing Laboratory
med fusion



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.