Viral Culture, Vesicle

Message
Indicate suspected virus on requisition.
Specify if Varicella zoster virus (chicken pox or shingles) is suspected as it requires specialized cell line innoculation and additional incubation.  
For HSV testing on mucocutaneous lesions, see HSV PCR.  Preferred test since March 2018.


Test Code
CXVIR


Alias/See Also

HSVPCR
VZV




CPT Codes
87252 (87290 VZV immunfluoresecent identification)

Includes
HSV, VZV   culture ( Reflex to Infectious agent identification by immunofluorecent technique if positive) .
CPT codes (87290 VZV immunfluoresecent identification) (87273 HSV 2 , IFA) (87274 HSV 1, IFA) will be added  as required.


Preferred Specimen
Aspirated fluid or lesion scraping.


Instructions
Aspirate fluid from vesicle with 26- or 27- gauge needle attached to tuberculin syringe and rinse into 1-2 mL of VTM.
Follow with swab back and forth over lesion with rayon swab in viral transport kit, and place swab into same VTM with aspirated fluid.


Transport Container
Viral transport medium obtained from Microbiology, 6-5785.


Transport Temperature
RT if transported within 15 minutes
On ice if transport will be delayed >15 min.


Setup Schedule
Sunday -Saturday


Limitations
Specify if Varicella zoster is required: requires specialized incubation conditions.


Reference Range
No Growth


Performing Laboratory
Microbiology-Virology laboratory x65785



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.