Enterovirus, Culture

Message
Order Misc Quest Test Code 2647X.


Test Code
ENTVCUL


Quest Code
2647


Alias/See Also
D68
EV-D68
ENTVCUL
Enterovirus PCR


CPT Codes
87254

Includes
For respiratory samples please consider using the following offerings:
Enterovirus/Parechovirus RNA, Qualitative Real-Time PCR


Preferred Specimen
Vesicular or ulcerative lesions, rectal swab, stool swab, or stool in VCM medium or other FDA approved equivalent viral transport medium


Minimum Volume
1 mL or 1 swab


Other Acceptable Specimens
3 mL CSF collected in a sterile, leak-proof container


Transport Container
VCM medium or other FDA approved equivalent viral transport medium or sterile container


Transport Temperature
VCM or equivalent: Frozen -70 (dry ice)
Unpreserved specimens: Refrigerated (cold packs)


Specimen Stability
VCM or equivalent
Room temperature: Unacceptable
Refrigerated: 4 days
Frozen -20° C: Unacceptable
Frozen -70° C: 30 days

Sterile Container (Unpreserved specimens)
Room temperature: Unacceptable
Refrigerated: 72 hours
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Bacterial transport systems • Dry swab • Molecular transport systems • Specimens in formalin or other fixatives • Respiratory specimens including sputum • Whole blood • Bone marrow • Serum • Plasma • Wooden-shaft swabs • Calcium alginate swabs


Methodology
Centrifuge Enhanced Culture • Immunofluorescence Stain

Setup Schedule
Set up: Mon-Sat; Report available: 6-8 days


Reference Range
Not Isolated


Clinical Significance
Enteroviruses are among the most common viruses infecting humans and are associated with diverse clinical syndromes ranging from minor febrile illness to severe, potentially fatal conditions (e.g., aseptic meningitis, encephalitis, paralysis, myocarditis, and neonatal enteroviral sepsis) and could be linked with the development of some chronic diseases (e.g., type 1 diabetes and dilated cardiomyopathy). Each year, an estimated 10 to 15 million symptomatic enterovirus infections occur in the United States.


Performing Laboratory
Quest Diagnostics Nichols Institute-San Juan Capistrano, CA
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042



Last Updated: September 10, 2019


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.