Herpes Simplex Virus, Type 1 and 2 DNA, Qualitative, Real-Time PCR

Test Code
HSVPCRQL


Quest Code
34257


Alias/See Also
34257


CPT Codes
87529 (x2)

Preferred Specimen

1 mL CSF,  pleural fluid, pericardial fluid or amniotic fluid collected in a sterile leak proof container,
Serum collected in an SST® or sterile tubes with no anticoagulants,
Whole blood collected in an EDTA (lavender-top) or ACD (yellow-top) tube,
Plasma collected in an EDTA (lavender-top) or ACD (yellow-top) or PPT tube,
Swab collected in a viral transport media, VCM or M4 or APTIMA® Unisex Swab Collection Kit
0.5 mL vitreous fluids collected in a sterile leak proof container



Minimum Volume
0.3 mL (0.35 mL BAL or bronchial washings)


Other Acceptable Specimens
Bronchoalveolar lavage or bronchial wash collected in a sterile leak proof container


Instructions
CSF: Collect in a sterile leak-proof container and store refrigerated or frozen.
Swab: Swab a lesion and place swab in a viral transport media, VCM or M4, or Aptima® Unisex Collection Kit (white label). Serum: Collect blood in sterile tubes with no anticoagulants; serum separator tubes (SST®) are recommended. Transfer serum into sterile plastic leak-proof container and store refrigerated or frozen.
Bronchial wash and BAL: Collect in a sterile leak proof container.


Transport Temperature
Frozen


Specimen Stability
All other specimens:
Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 30 days (whole blood unacceptable)
APTIMA® Unisex Swab collection:
Room temperature: 14 days
Refrigerated: 14 days
Frozen: 30 days


Methodology
Real-Time Polymerase Chain Reaction

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule
A.M. Sets up 7 days a week.


Report Available
1-2 days from receipt at ref. lab


Reference Range
HSV 1 DNA Not detected
HSV 2 DNA Not detected


Clinical Significance
DNA testing is analytically more sensitive than culture, especially in patients with encephalitis or meningitis. DNA testing may be useful in diagnosis of infection in neonates. Neonates who have been exposed to HSV can develop disseminated infection and encephalitis. Encephalitis is usually due to HSV I whereas meningitis is usually due to HSV II. DNA testing provides reliable means to define the type.


Performing Laboratory
Quest Diagnostics Nichols Institute-San Juan Capistrano, CA
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042




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.