Adenovirus DNA, Quantitative Real-Time PCR [19726X]

Test Code
182668

Preferred Specimen
0.85 ml Respiratory samples
Instructions: **This test is not available for New York
State patient testing.**
Instructions:
Samples in M4 medium: [includes (nasopharyngeal, throat,
or conjunctival swabs in VCM or M4), BAL, or other body
fluids in M4; all specimen types placed in M4 medium are
acceptable)]: Use sterile vials containing 3 mL of
sterile M4 medium. Do not use calcium alginate swabs, as
they may contain substances that inhibit PCR testing.

Minimum Volume
0.35 ml

Other Acceptable Specimens
0.85 ml Urine (Min0.35 ml)
Sterile Container, leak-proof (Random); Refrigerated;

Stability:
__Room Temperature: 48 hours
__Refrigerated: 7 days
__Frozen: 30 days
-OR-
0.85 ml Sputum (Min0.35 ml)
Sterile Container, leak-proof; Refrigerated;

Stability:
__Room Temperature: 48 hours
__Refrigerated: 7 days
__Frozen: 30 days
-OR-
10 ml Bronchial lavage/wash (Min5 ml)
Sterile Container, leak-proof; Refrigerated;

Stability:
__Room Temperature: 48 hours
__Refrigerated: 7 days
__Frozen: 30 days
-OR-
1 swab Swab
M4-Multi use media, viral transport; Refrigerated;

Stability:
__Room Temperature: 48 hours
__Refrigerated: 7 days
__Frozen: 30 days
-OR-
0.85 ml Plasma (Min0.35 ml)
Lavender Top EDTA Tube; Refrigerated;
Stability:
__Room Temperature: 48 hours
__Refrigerated: 7 days
__Frozen: 30 days
-OR-
0.85 ml Serum (Min0.35 ml)
Red-top tube (no gel); Refrigerated;
Stability:
__Room Temperature: 48 hours
__Refrigerated: 7 days
__Frozen: 30 days
-OR-
0.85 ml Whole Blood (Min0.35 ml)
Lavender Top EDTA Tube; Refrigerated;
Stability:
__Room Temperature: 48 hours
__Refrigerated: 7 days
__Frozen: Unacceptable
-OR-
1 swab Swab
VCM; Refrigerated;
Stability:
__Room Temperature: 48 hours
__Refrigerated: 7 days
__Frozen: 30 days
-OR-
0.85 ml Bone Marrow (Min0.35 ml)
Lavender Top EDTA Tube; Refrigerated;
Stability:
__Room Temperature: 48 hours
__Refrigerated: 7 days
__Frozen: 30 days
-OR-
0.85 ml Bone Marrow (Min0.35 ml)
Yellow Top ACD-A; Refrigerated;
Stability:
__Room Temperature: 48 hours
__Refrigerated: 7 days
__Frozen: 30 days
-OR-
0.85 ml Bone Marrow (Min0.35 ml)
Yellow Top ACD-B; Refrigerated;
Stability:
__Room Temperature: 48 hours
__Refrigerated: 7 days
__Frozen: 30 days

Transport Container
M4-Multi use media, viral transport

Transport Temperature
Refrigerated

Specimen Stability
Room Temperature: 48 hours
Refrigerated: 7 days
Frozen: 30 days

Methodology
Real-Time Polymerase Chain Reaction (RT-PCR)

Setup Schedule
Monday-Sunday Morning
Report available: Next Day

Reference Range
< 500 copies/mL

Clinical Significance
This test is used to determine the presence of adenovirus in a patients specimen. Organisms may be detected by PCR prior to diagnosis by immunological methods. PCR provides more rapid results than other methods, including culture.

Performing Laboratory
Quest Diagnostics Nichols Institute 14225 Newbrook Drive Chantilly, VA 20153



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.