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VARICELLA ZOSTER VIRUS PCR

Test Code
VZVPC


CPT Codes
87798

Preferred Specimen

Submit swabs in BD UTM (Universal Transport Media)
 





Unacceptable media:  Abbott Multi-collect, Abbott Universal collect, eSwab, PrimeStore-MTM, Ruhof, MANTACC, media with guanidine-containing materials or ‘molecular media’ that indicates inactivation of pathogens and preservation of RNA/DNA.




Minimum Volume
0.5 mL


Other Acceptable Specimens
Sterile Container for CSF


Transport Temperature

Refrigerate



Specimen Stability
  • 2-25°C up to 48 hours
  • 2-8°C up to 7 days
  • -20 to -70°C up to 30 days


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

The following conditions will result in a rejected specimen:

  • Non-sterile or leaking containers
  • Vesicular lesions that are cleaned by using alcohol or detergents
  • Collections with dry swabs, wooden shaft swabs, or calcium alginate swabs. These may lead to erroneous PCR results.
  • Unacceptable media:  Abbott Multi-collect, Abbott Universal collect, eSwab, PrimeStore-MTM, Ruhof, MANTACC, media with guanidine-containing materials or ‘molecular media’ that indicates inactivation of pathogens and preservation of RNA/DNA.


Methodology
PCR (Polymerase Chain Reaction)

Setup Schedule
M, T, W, R, F, Sa (Su CSF only)


Reference Range

Not Detected



Clinical Significance

Varicella-Zoster Virus (VZV) causes vesicular dermal lesions which are clinically evident as Varicella (primary infection) or Zoster (reactivated shingles) diseases. Reactivation of latent virus may occur (usually in adults over the age of 50) and produces vesicles that are typically confined to a single dermatome of the skin. Occasionally, post-herpetic neuralgia is associated with reactivation of VZV. Laboratory diagnosis is important for distinguishing HSV from VZV infections, as the clinical presentation of zoster can be confused with the dermal distribution produced by HSV.




Performed By
Alverno Laboratories

Performing Laboratory
Alverno Central Lab  
NMB8 (Molecular Biology, 3M Integrated Cycle)


Last Updated: July 28, 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.