Herpes Simplex Viral Culture with Reflex to Typing

Last Modified: 9/22/2021 1:27:37 PM

Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: Nasal/nasopharyngeal swab, or endocervical swab, or conjunctiva, vesicle fluid/scraping, or urethral swab, or vaginal swab, or rectal mucosal or throat swab in 3 mL VCM Transport Medium (green-cap) tube


Collection Instructions: Nasal/nasopharyngeal swab, endocervical swab, eye swab or lesion (vesicle) aspirate swab, urethral swab, vaginal swab, rectal mucosal swab (without feces) or throat swab collected in VCM (green-cap) tube or equivalent 

To maintain optimum viability, place swab into VCM (equal volumes of fluid/tissue and VCM) or equivalent and transport the specimen to the laboratory as soon as possible.
Minimum Volume: 1 mL or 1g Tissue
Transport & Storage: Temperature/Stability: VCM/UTM/M4 Transport Medium: 

Unacceptable Ambient

30 days Frozen -70 (dry ice)

Storage or transport at -20°C is not acceptable
Rejection Criteria: CSF • Sputum; Raw (unpreserved) stool • Dry swabs • Molecular transport systems • Bacterial transport systems • Tissue or biopsies in formalin or other fixatives • Calcium alginate or Wooden shaft swabs • Non gel-based bacterial transports
Reference Range:

Not isolated

Critical Ranges:  
Test Comments: If Herpes Simplex Virus Culture, Rapid Method is "Isolated", the Type 1, Herpes simplex virus and Type 2 Herpes simplex virus will be performed at an additional charge (CPT code: 87140 (x2)).
Methodology: Centrifuge Enhanced Culture • Histochemical Stain
Clinical Significance:  
Custom Panel: No


Turn Around Time: 2 days Typing 3 to 5 days
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Quest - Chantilly
PHL Test Code: MSOT
EPIC Test Code: MISC
Send Out Test Code: 2649
Alternate Test Names: Herpes CX; Herpes Simplex Viral Culture
Included Tests:  
CPT Coding: 87255

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