Respiratory Expanded Pathogens Panel

Message

SRHC clients:
NP swab in VTM media
Transport to SRH within 4 hours room temp or for best practice
Refrigerate if sample will not arrive at SRH in less than 4 hours and send same day for best practice. See below for all stabilities.

Test Code

RESPP

Alias/See Also

Respiratory Expanded Pathogens Panel, Qualitative PCR
FilmArray Respiratory Panel
Respiratory Virus Panel

CPT Codes
87633,87798,87486,87581

Includes

Viral Pathogens:
Adenovirus
Coronavirus HKU1
Coronavirus NL63
Coronavirus OC43
Coronavirus 229E
Human Metapneumovirus
Human Rhinovirus/Enterovirus
Influenza A
Influenza A subtype H1
Influenza A subtype H3
Influenza A subtype 2009 H1
Influenza B
Parainfluenza Virus 1
Parainfluenza Virus 2
Parainfluenza Virus 3
Parainfluenza Virus 4
Respiratory Syncytial Virus
Bacterial Pathogens:
Bordetella pertussis
Chlamydophila pneumoniae
Mycoplasma pneumoniae

Preferred Specimen

Nasopharyngeal swab in VTM viral transport media--only specimen that is acceptable

Other Acceptable Specimens

None

Instructions

Insert flocked nasopharyngeal swab into patient’s nasal passage along the septum until a slight resistance is met (NP not nares swab)
Rotate swab 2-3 times and hold swab in place for 5 seconds to ensure maximum absorbency
Withdraw swab and repeat procedure in other side with the same swab
Remove swab, place in vial of viral transport media immediately and break off shaft at molded breakpoint

Transport Container

Viral transport media kit (Universal Viral Transport – VTM)) with 1 flocked swab (provided by Microbiology)

Transport Temperature

Transport in VTM viral transport media

Specimen Stability

4 hours room temperature (20-30°C)
3 days refrigerated (2-8°C)
30 days frozen (-20°C) (avoid repeated freeze/thaw cycles)

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

Wood-shafted swabs
Calcium alginate swabs
Specimen types other than those listed

Methodology
Reverse Transcription Polymerase Chain Reaction (PCR) FilmArray Respiratory Panel by BioFire Diagnostics, a multiplex RT-PCR platform to simultaneously detect and identify 20 respiratory pathogens.

Setup Schedule

Daily

Report Available

Same day--2 to 5 hours

Limitations

The test result does not rule out presence of other viruses or bacteria that are not included in this panel. The virus or bacteria detected may not be the specific cause of the disease or patient symptoms. Results should be correlated with other clinical findings for diagnosis, treatment or other management decisions.

Reference Range

No Respiratory Pathogens Detected

Clinical Significance

The detection and identification of specific viral nucleic acids from individuals exhibiting signs and symptoms of a respiratory infection aids in the diagnosis of respiratory viral infection if used in conjunction with other clinical and epidemiological information.

A “Detected” result indicates presence of the corresponding viral or bacterial target.

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.