GI PANEL by PCR

Test Code

BFGI

Alias/See Also

BioFire Filmarray; Gastroenteritis; Diarrhea

CPT Codes
87507

Includes

The following targets will be tested: Campylobacter (C. jejuni/C. coli/C. upsaliensis), Clostridium difficile (C. difficile) toxin A/B, Plesiomonas shigelloides, Salmonella, Vibrio (V. parahaemolyticus/V. vulnificus/ V. cholerae) including specific identification of Vibrio cholerae, Yersinia enterocolitica, Enteroaggregative Escherichia coli (EAEC), Enteropathogenic Escherichia coli (EPEC), Enterotoxigenic Escherichia coli (ETEC) lt/st, Shiga-like toxin-producing Escherichia coli (STEC) stx1/stx2 (including specific identification of the E. coli O157 serogroup within STEC), Shigella/ Enteroinvasive Escherichia coli (EIEC), Cryptosporidium, Cyclospora cayetanensis, Entamoeba histolytica, Giardia lamblia (also known as G. intestinalis and G. duodenalis), Adenovirus F 40/41, Astrovirus, Norovirus GI/GII, Rotavirus A, Sapovirus (Genogroups I, II, IV, and V)

Preferred Specimen

1 Para-Pak C&S (Cary-Blair media)

Minimum Volume

Add enough sample to Para-Pak C&S container so that fluid reaches the red fill line. DO NOT OVERFILL

Other Acceptable Specimens

None

Instructions

Collect fresh unformed stool and transport refrigerated in Cary-Blair media.

Transport Temperature

Refrigerated

Specimen Stability

2-30°C (room temp or refrigerate) up to 4 days

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

The following conditions will result in a rejected specimen:

Rectal swab
Sample in fixative (Formalin or PVA)

Methodology
Polymerase Chain Reaction (PCR)

Setup Schedule

M, Tu, W, Th, F, Sa, Su

Report Available

Report available within 8 hours of receipt at the performing laboratory.

Reference Range

Not Detected

Clinical Significance

This comprehensive panel detects multiple gastrointestinal viral, parasitic, and bacterial nucleic acid targets in stool. Testing should be limited to:

Severe illness
Inflammatory diarrhea
Hi-risk host (>/=70 years, cardiac disease, immunocompromised, inflammatory bowel disease, pregnancy)
Symptoms lasting more than 7 days
Public health concerns (diarrheal illness in food handlers, healthcare workers, and day care facility personnel/attendees)

Performed By
Alverno Laboratories

Performing Laboratory
Alverno Central Lab
NMB9 (Molecular Biology, BioFire)

Last Updated: June 8, 2023

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.