Herpes Simplex Virus DFA with Reflex to Herpes Simplex Virus Culture
Ordering Recommendation
Rapid diagnostic test with culture backup for negative DFA results. May be helpful in identifying acute herpes simplex virus (HSV) infection in active lesions (eg, vesicles, ulcers, inflammation of mucous membranes). Molecular testing is generally preferred; refer to Herpes Simplex Virus (HSV-1/HSV-2) Subtype by PCR (2010095).
New York DOH Approval Status
Specimen Required
Buccal mucosa lesion; cervical or genital lesion; eye, throat, or vesicle swab; bronchoalveolar lavage (BAL); tissue or vesicle fluid.
Fluid: Transfer 3 mL specimen to a sterile container. (Min: 0.5 mL) Also acceptable: Transfer to 3 mL viral transport media (ARUP Supply #12884) available online through eSupply using ARUP Connect™ or contact ARUP Client Services at 800-522-2787.
Swab or Tissue: Place in 3 mL viral transport media (ARUP Supply #12884) available online through eSupply using ARUP Connect™ or contact ARUP Client Services at 800-522-2787.
Refrigerated.
Bone marrow, CSF, or whole blood. Calcium alginate, eSwab, dry or wood swabs.
Specimen source preferred.
Ambient: 4 hours; Refrigerated: 72 hours; Frozen: Unacceptable
Methodology
Direct Fluorescent Antibody (DFA) Stain/Cell Culture
Performed
Sun-Sat
Reported
Within 24 hours
Reference Interval
Negative
Interpretive Data
Modified FDA
Note
If DFA is negative or inadequate, then an HSV culture will be added. Additional charges apply.
Sensitivity of DFA methodology is dependent upon adequacy of the specimen. If specimen contains fewer than 20 cells, then the DFA result will be reported as "inadequate."
Hotline History
CPT Codes
87274; 87273; if reflexed, add 87255
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
0060292 | Herpes Simplex Virus 1, DFA | 5846-1 |
0060293 | Herpes Simplex Virus 2, DFA | 5849-5 |
0060332 | HSVFAC Source | 31208-2 |
Aliases
- Herpes Culture
- Herpes Simplex Viral Culture
- Herpes Simplex Virus Antigen Detection, DFA
- Herpes Simplex Virus by DFA
- HHV1
- HHV2
- HSV DFA
- HSV-1
- HSV-2