Viral Respiratory, Rapid Culture with Reflex

Test Code
14867


CPT Codes
87254

Includes
If Viral Respiratory, Rapid Culture Screen is Positive, then Rapid Respiratory Viruses identification will be performed at an additional charge (CPT codes(s): 87140 x7)


Preferred Specimen
3 mL nasopharyngeal aspirate/washing or nasopharyngeal swab in V-C-M medium (green-cap) tube or equivalent


Minimum Volume
1 mL


Other Acceptable Specimens
3 mL nasopharyngeal aspirate, nasopharyngeal washing, bronchial lavage/wash or tracheal lavage/wash in sterile screw-cap container • Throat swabs on patients ≥2 years of age in V-C-M medium (green-cap) tube or equivalent


Instructions
To maintain optimum viability, place swab or fluid into V-C-M (equal volumes of fluid and V-C-M) or equivalent and transport the specimen to the laboratory as soon as possible. Best recovery is obtained when the specimens are refrigerated at 2-8° C or kept on wet ice following collection and while in transit. If there will be a long delay before processing, specimens in V-C-M or equivalent should be frozen at -70° C or colder and transported on dry ice. Storage or transport at -20° C is not acceptable. Raw (unpreserved) specimens should only be refrigerated and not frozen.


Transport Temperature

Refrigerated (cold packs)



Specimen Stability
V-C-M medium (green-cap) tube or equivalent
Room temperature: Unacceptable
Refrigerated: 4 days
Frozen -20° C: Unacceptable
Frozen -70° C: 30 days

Raw (unpreserved) specimens
Room temperature: Unacceptable
Refrigerated: 72 hours
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Throat specimens on <2 year old patients • Received in non-viral transport medium such as nucleic acid or bacterial transport media • Non-respiratory specimens • Dry swabs • Received in formalin or other fixatives • Received at room temperature • Received frozen at -20° C


Methodology
Centrifuge-Enhanced Culture • Immunofluorescence Stain

Setup Schedule
Set up: Mon-Sat; Report Available: 2-4 days


Clinical Significance
Diagnosis facilitates appropriate selection of antiviral drug therapy for Influenza A and RSV, and prevents inappropriate use of antibiotics.




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.