Respiratory Viruses DFA with Reflex to Viral Culture, Respiratory
Ordering Recommendation
Order this test when the detection of respiratory viruses in addition to influenza is important. Test detects influenza (A, B), parainfluenza (1, 2, 3), adenovirus, respiratory syncytial virus (RSV), and human metapneumovirus (hMPV). Molecular methods are preferred for immunocompromised and hospitalized patients. For general inpatient workup of influenza-like illness, order the Respiratory Virus Mini Panel by PCR (0060764).
New York DOH Approval Status
Specimen Required
Respiratory specimen: Bronchoalveolar lavage (BAL), nasopharyngeal (aspirate, swab, or washing), or tracheal aspirate.
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: 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.
Calcium alginate, dry or wood swabs. Slides.
Specimen source preferred.
Ambient: 2 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
FDA
Note
If DFA is negative or inadequate, then a respiratory viral 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
87276; 87275; 87279 x3; 87280; 87260; 87299; if reflexed add 87252; if definitive identification performed, add 87253.
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
0060294 | Influenza A - DFA | 5863-6 |
0060295 | Influenza B - DFA | 5867-7 |
0060296 | Parainfluenza Type 1 - DFA | 5869-3 |
0060297 | Parainfluenza Type 2 - DFA | 5871-9 |
0060298 | Parainfluenza Type 3 - DFA | 5873-5 |
0060299 | Adenovirus - DFA | 5834-7 |
0060301 | Respiratory Syncytial Virus - DFA | 5877-6 |
0060334 | RSP Fac Source | 66746-9 |
0060778 | Human Metapneumovirus DFA | 40979-7 |
Aliases
- Adenovirus
- Culture for virus
- HMPV
- human mentapneumovirus by DFA
- Influenza A
- influenza A and B culture
- Influenza B, Parainfluenza Types 1, 2, 3,
- parainfluenza types 1, 2, 3
- Respiratory profile, direct detection DFA
- Respiratory Virus Screen, DFA
- RSV
- RSV culture