Respiratory Pathogen Panel by PCR

Test Code
401


CPT Codes
87633

Includes
Viruses Bacteria
Adenovirus Bordetella pertussis (IS1001)
Coronavirus 229E Bordetella pertussis (ptxP)
Coronavirus HKU1 Chlamydophila pneumoniae
Coronavirus OC43 Mycoplasma pneumoniae
Coronavirus NL63  
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)  
Human Metapneumovirus  
Human Rhinovirus/Enterovirus  
Influenza A  
Influenza A/H1  
Influenza A/H1-2009  
Influenza A/H3  
Influenza B  
Parainfluenza 1  
Parainfluenza 2  
Parainfluenza 3  
Parainfluenza 4  
RSV


Preferred Specimen

Specimen Type: Nasopharyngeal Swab in Universal Transport Media (UTM)


Container/Tube: UTM

Specimen Volume: 0.5 mL


1. Collect specimen by swabbing back and forth over mucosa surface to maximize recovery of cells.

2. Swab must be placed in viral transport media (for example, M4-RT, M4, or M5 media)




Specimen Stability
Specimen Type Temperature Time
Nasopharyngeal Swab in UTM Refrigerated (2-8°C) 4 days


Reference Range

None



Performed By
EmpowerMe Diagnostics



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.