233

Test CPT Codes

U0004, 87502

Test Type

Molecular

Test Disease

Influenza A & B /COVID-19 Infection

Test Technology

RT-PCR

Clinical Utility

Diagnostic

Test Specimen

Test Specimen:

• Throat or nasopharyngeal swab in 3 mL V-T-M medium or Universal transport media equivalent.

Specimen Collection

• Specimen should be collected during acute phase of the disease, ideally within 24 hours of onset of symptoms. Guide the flexible (ideally a flocked rather than wound) swab into the contour of the nares and into the nasopharynx. Leave in place 15 to 30 seconds, rotate and remove. Place swab in viral transport.

• Throat swab: Carefully rub the posterior nasopharynx with a dry sterile swab (preferably the "flocked swab"). Avoid touching the tongue or buccal mucosa. Place swab in viral transport.

Specimen Requirements

• 1mL

Transport Conditions

• Refrigerate, Ship on cool packs 20-80 C if received in 72 hours

• Ship on cool packs 20-80 C if received in 72 hours

Reporting

• Negative - No Influenza A or Influenza B viral RNA detected

• Influenza A Positive - Influenza A viral RNA detected

• Influenza B Positive - Influenza B viral RNA detected

• COVID 19 RNA Not detected

• COVID 19 RNA detected

• Indeterminate

• Quantity not sufficient

Test Storage

Frozen at -20° C (preferred). Refrigerated specimens acceptable (if received for testing within 72 hours of collection). Room temperature swabs are acceptable (if received within 24 hours of collection).

Rejection criteria

• Cotton-tip swabs in Urinary or Vaginal transport media

• Specimens collected with calcium alginate swabs

• Specimens collected with cotton tips and wood shafts

• Refrigerated samples greater than 72 hours old

• Room temperature swabs greater than 24 hours old

• Improperly labeled, grossly contaminated, broken or leaking transport device

• Collection with substances inhibitory to PCR including heparin, hemoglobin, ethanol, EDTA concentrations >0.01M

• Specimens submitted in glass tubes/containers

Turnaround Time (TAT)

≤ 2 days