Last Modified:
8/28/2023 2:01:43 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
Lesion in M4RT Vial
Cutaneous - skin, penis, labia
or
Mucrocutaneous - oral, ocular, urethral, nasal, vaginal, cervical, rectal
Collection Instructions:
Specimen must be collected from Cutaneous (skin, penis, labia) or Mucrocutaneous (oral, ocular, urethral, nasal, vaginal, cervical, rectal) lesions from symptomatic patients and immediately placed in Remel Viral Transport Media - Room Temp (M4RT).
Collection site and/or source must be given on the order.
Endocervical:
1. Remove excess mucous from cervial os and surrounding mucosa with large tipped swab.
2. Insert specimen collection swab into endocervical canal.
3. Gently rotate swab for 10-30 seconds to ensure adequate sampling.
4. Withdraw swab carefully to avoid vaginal mucosa.
5. Remove cap from transport vial and place swab into vial.
6. Snap off swab shaft, re-cap transport vial.
Urethral:
1. The patient should not have urinated for at least 1 hour prior to collection.
2. Insert collection swab 2-4 cm into urethra.
3. Gently rotate swab for 2-3 seconds to ensure adequate sampling.
4. Withdraw swab carefully.
5. Remove cap from transport vial and place swab into vial.
6. Snap off swab shaft, re-cap transport vial.
Transport & Storage: Temperature/Stability:
48 hours Ambient (up to 30 degrees C)
7 days Refrigerated (Transport)
7 days Frozen
Rejection Criteria:
CSF, tissue, Nasopharyngeal Swabs; screening specimens in the absence of lesions/symptoms, Cepheid Xpert Nasopharyngeal Swab in UTM (these are only approved for respiratory viruses), no Cepheid CT/NG transport media
Reference Range:
No HSV-1 or HSV-2 DNA detected.
Critical Ranges:
Test Comments:
Methodology:
Helicase-Dependant DNA Amplification
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
1 to 3 days
Days Performed:
Monday, Tuesday, Wednesday, Thursday, Friday
Sites Performed:
Parkview Regional Medical Center
PHL Test Code:
HSDNA
EPIC Test Code:
LAB2946
Alternate Test Names:
Herpes Simplex 1+2 by DNA Amplification; Herpes Simplex, HSV 1+2; HSV-1 & HSV-2
Included Tests:
Herpes Simplex Virus 1 (HSV-1); Herpes Simplex Virus 2 (HSV-2);
CPT Coding:
87529
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