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Cytomegalovirus DNA, Qualitative, Real-Time PCR

Test Code
CMVPCRQL


Quest Code
10601


Alias/See Also
10601


CPT Codes
87496

Preferred Specimen
SST 1.0 mL Serum OR 1 mL whole blood collected in an EDTA (lavender-top) or ACD (yellow-top) tube Plasma collected in an EDTA (lavender-top), ACD B (yellow-top), or PPT Potassium EDTA (white-top) tube CSF, Bronchoalveolar lavage, Eye fluids, Amniotic fluid, Amniotic fluid supernatant collected in a sterile leak-proof container OR random urine collected in a sterile screw cap container


Minimum Volume
3 cubic mm tissue • 0.25 mL vitreous fluid • 0.5 mL all others


Other Acceptable Specimens
3 cubic mm fresh (unfixed) tissue collected in a sterile plastic leak-proof container


Instructions
Whole blood: Collect whole blood in sterile tubes containing EDTA anticoagulant. Store refrigerated. Do not freeze whole blood.

Plasma: Collect blood in sterile tubes containing EDTA anticoagulant or in plasma preparation tubes (PPT). Store collected whole blood at room temperature and separate plasma from cells within 2 hours of collection. Transfer plasma to sterile, plastic, screw-cap tubes and store refrigerated or frozen. If blood is collected in a PPT, centrifuge within 2 hours of collection and store refrigerated or frozen. It is not necessary to transfer the plasma from a PPT to aliquot tubes.

Serum: Collect in a red-top tube (no gel) or serum separator tube (SST) and store refrigerated or frozen.

CSF, amniotic fluid, urine, BAL, vitreous (eye) fluid: Collect in a sterile, plastic, leakproof container and store refrigerated or frozen.

Tissue: Fresh (unfixed) tissue submitted in a sterile, plastic, leakproof container and store refrigerated or frozen.


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Whole blood
Room temperature: 48 hours
Refrigerated: 8 days
Frozen: Unacceptable

All other sample types
Room temperature: 48 hours
Refrigerated: 8 days
Frozen: 30 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Heparinized specimens • Unspun PPT tube • Paraffin embedded (FFPE) tissue


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

Set up: Daily; Report available: 2-3 days



Reference Range
Not detected


Clinical Significance
In patients who are immunocompromised, CMV may cause disseminated, severe disease. CMV is also the most common cause of congenital viral infection in humans. Quantitative PCR methods may be useful in monitoring CMV replication in immunosuppressed patients or in determining the viral load of CMV in amniotic fluid.


Performing Laboratory
Quest Diagnostics Nichols Institute
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.