Viral Culture, Lower Respiratory

Message
**For upper respiratory specimens, please submit a nasopharyngeal swab in viral transport media and order RVP**

Performed in the Virology Laboratory x5785
Indicate suspected virus on requisition.Rapid CMV shell vial assay also performed on CMV request.
See separate instructions for Influenza PCR on nasopharyngeal swabs .


Test Code
CXVIR


Alias/See Also
Respiratory viral culture


CPT Codes
87252; 87254 x2

Includes
Respiratory viruses: Influenza, parainfluenza I, II, III, RSV , adenovirus, human metapneumovirus.
CMV
HSV


Preferred Specimen
Bronchoscopy brochial  lavage, washing, brush, or biopsy specimen


Minimum Volume
8-10 mL


Other Acceptable Specimens
Lung biopsy


Instructions
Place 8-10 mL of bronchoalveolar lavage (BAL) or bronchial wash in sterile container.


Transport Container
Sterile container; no transport medium.


Transport Temperature
Room temperature if transported within 15 minutes of collection
On ice if transport will be delayed by >15 min.


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Expectorated sputum is never acceptable.


Methodology
Shell vial assay x2 (24 hrs and 48 hrs) for respiratory organisms;
Traditional tube culture for other viral organisms.

Setup Schedule
Test performed Sunday throught Saturday


Reference Range
No growth


Performing Laboratory
Microbiology 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.