HSV by PCR, Lesion (Genital/Oral)

Test Code
LAB1763


Alias/See Also
Herpes simplex virus-1
Herpes simplex virus-2



CPT Codes
87529

Includes
HSV-1
HSV-2


Preferred Specimen
Lesions or vesicle fluid collected with Copan MSwab


Other Acceptable Specimens
Specimen collected in universal/viral transport media (UTM/VTM)


Instructions

Vesicles present (clear fluid-filled blister)

1. Wash/wipe the surface of the lesion with sterile saline.
2. Carefully uncap (disrupt) the vesicle with the collection swab (preferred), needle, or scalpel and collect the fluid with the collection swab.
3. With the same collection swab, vigorously rub the base of the vesicle to collect cells at the base of the lesion.
4. Transfer the swab to its MSwab™ transport tube. Leverage the swab shaft against the edge of the tube to break at pre-scored point.
5. Close the cap firmly while ensuring that the upper end of the swab shaft is in the center of the cap.


Vesicles absent (ruptured, weeping vesicle or crusted ulcer) 

If crust absent (ruptured and/or weeping vesicle):
1. Using a dry collection swab or one pre-moistened with two drops of sterile physiological saline, collect cells by vigorously rubbing the base of the lesion.
2. Transfer swab to the MSwab™ transport tube. Leverage the swab shaft against the edge of the tube to break at pre-scored point.
3. Close the cap firmly while ensuring that the upper end of the swab shaft is in the center of the cap.

If there is crust on the lesion (crusted ulcer):
1. Gently remove crust using the collection swab pre-moistened with sterile saline.
2. Collect specimen by vigorously rubbing the base of the lesion.
3. Alternatively, gently abrade the lesion with a sterile scalpel or needle until serous fluid emerges (avoid bleeding) and collect the sample with a pre-moistened collection swab by vigorously rubbing the base of the vesicle.
4. Transfer swab sample to MSwab™ transport tube. Leverage the swab shaft against the edge of the tube to break at pre-scored point.
5. Close the cap firmly while ensuring that the upper end of the swab shaft is in the center of the cap.



Transport Container
MSwab tube


Transport Temperature
Ambient


Specimen Stability
Ambient – 4 days
Refrigerated -- 14 days
Frozen  -- 90 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimen not in MSwab tube
No swab in transport tube
Specimen leaked in transit
Improper labeling of specimen


Methodology
Cobas® HSV test, by PCR

Setup Schedule
Tuesday and Friday


Reference Range
HSV-1 -  Not detected
HSV-2 – Not detected



Clinical Significance
Direct detection and differentiation of Herpes simplex virus 1 and 2 (HSV-1 and HSV-2) DNA in clinician-collected, external anogenital lesion specimens from symptomatic male and female patients.


Performing Laboratory
Meritus Molecular Diagnostics - Microbiology



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.