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2627: Cytomegalovirus, Conventional And Rapid Culture Print View
Source:      
Rapid Culture Result   Not Isolated   
Tube Culture Result   Not Isolated   

PRIMARY
1 Urine 3 (0.5) mL   Refrigerated - 72 Hour(s)  
ALTERNATE
  Bronchial Alveolar Lavage   Refrigerated - 72 Hour(s)  
  Bronchial Lavage/Wash   Refrigerated - 72 Hour(s)  
  Bone Marrow Heparinized   Refrigerated - 72 Hour(s)  
  Nasopharyngeal Lavage/Was   Refrigerated - 72 Hour(s)  
  Saliva   Refrigerated - 72 Hour(s)  
  Urine - VCM   Refrigerated - 4 Day(s)  
  Tissue Biopsy   Refrigerated - 72 Hour(s)  
  Tracheal Aspirate   Refrigerated - 72 Hour(s)  
  Urogenital Swab   Refrigerated - 72 Hour(s)  
  Universal Transport Media   Refrigerated - 4 Day(s)  
  VCM Medium   Refrigerated - 4 Day(s)  
  Amniotic Fluid   Refrigerated - 72 Hour(s)  
  Throat Swab   Refrigerated - 72 Hour(s)  

CMV infections are common and usually asymptomatic. In patients who are immunocompromised, CMV may casuse disseminated, severe disease. CMV may cause birth defects in a minority of newborns. Rapid culture provides results quickly in order to initiate therapy but may be negative in certain circumstances. Conventional culture may take more than 3 weeks.

To maintain optimun viability, place swab or fluid into VCM (equal
volume or fluid and VCM) or equivalent and transport the specimen to
the laboratory as soon as possible. Best recovery is obtained when the
specimens are refrigerated at 2-8 degrees C or kept on wet ice
following collection and while in transit. If there will be
a long delay before processing, specimens, in VCM or equivalent
should be frozen at -70 degrees C or colder and transported
on dry ice. Storage or transport at -20 degrees C is not acceptable.
Raw (unpreserved) samples should only be refrigerated
and not frozen.


Tissue must be kept moist.

Note:
PCR is preferred test for CSF and whole blood (preferred specimen:
1mL CSF submitted in a sterile, leak proof container without
transport media), 1 mL whole blood in EDTA)
Setup Schedule
Monday-Saturday

Reported (Analytical Time)
4-23 days

CPT Codes
87252,87254

The CPT codes provided 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 payer being billed.

Notes
Reject Criteria: Wooden-shaft; alginate swabs; CSF; eSwab; bacterial transport media; stool specimens; blood
Methodology: Rapid Culture, Conventional Culture, Immunofluorescent stain Transport Temperature Specimen in VCM Frozen -70 degrees C
Other specimens: Refrigerated (Cold Packs) Specimens in sterile containers including bone marrow in heparin (refrigerated: cold packs, wet ice) only. Specimen Stability For specimen received in V-C-M- medium (green-cap) Tube or equivalent;
Room temp: unacceptable
Refrigerated: 4 days
Frozen (-20C): unacceptable
Frozen (-70C): 30 days For specimens received in sterile leak-proof container
Room temp: unacceptable
Refrigerated: 72 hours
Frozen (-20 C): unacceptable
Frozen (-70 C): unacceptable






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