Respiratory Virus PCR Panel IV

Last Modified: 9/25/2023 12:41:27 PM


Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 2 mL bronchial lavage (BAL) or bronchial wash in a sterile leak-proof container
Collection Instructions:  
Minimum Volume: 0.6 mL BAL
Transport & Storage: Temperature/Stability:
  • Swabs
    Room temperature: 48 hours
    Refrigerated: 7 days
    Frozen: 30 days

    Bronchial lavage
    Room temperature: Unacceptable
    Refrigerated: 7 days
    Frozen: 30 days
Reference Range: See Laboratory Report
Critical Ranges:  
Test Comments:  
Methodology: Real-Time Polymerase Chain Reaction
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Turn Around Time: 2 to 4 days
Days Performed: Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Quest - Chantilly
PHL Test Code: MSOT
Send Out Test Code: 91233
Alternate Test Names: Respiratory Virus (RSV) PCR Panel IV
Included Tests:

Adenovirus DNA, QL PCR; Human Metapneumovirus RNA, QL PCR;Influenza Type A and B RNA, QL PCR;Parainfluenza Virus (Types 1, 2, 3 and 4) RNA, QL PCR; Rhinovirus RNA, Real-Time PCR; RSV RNA, QL PCR

CPT Coding: 87632

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