Viral Culture, Non-Respiratory and Cytomegalovirus Rapid Culture
Ordering Recommendation
For best results, specify specimen source and suspected virus on order form. Molecular diagnostics are preferred for suspected invasive cytomegalovirus (CMV).
New York DOH Approval Status
Specimen Required
Eye swab, lesion, tissue (brain, colon, kidney, liver, etc.), or urine.
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.
Calcium alginate, eSwab, dry, or wood swabs.
Specimen source preferred.
Ambient: 2 hours; Refrigerated: 72 hours; Frozen: Unacceptable
Methodology
Cell Culture/Immunofluorescence
Performed
Sun-Sat
Reported
3-16 days
Viral Culture: 3-16 days
Cytomegalovirus Rapid Culture: 1-5 days
Reference Interval
Negative.
Interpretive Data
Standard
Note
Identification is billed separately from culture. Viruses that can be isolated include adenovirus, cytomegalovirus, enterovirus, herpes simplex virus, and varicella-zoster virus. However, virus-specific tests are recommended and are listed below.
The following test is standard of care for diagnosing adenovirus infection in tissue specimens:
Adenovirus by Qualitative PCR (ARUP test code 2007473)
The following tests are standard of care for diagnosing viral infection in CSF specimens:
Cytomegalovirus by Qualitative PCR (ARUP test code 0060040)
Enterovirus by PCR (ARUP test code 0050249)
Epstein-Barr Virus by Qualitative PCR (ARUP test code 0050246)
Herpes Simplex Virus (HSV-1/HSV-2) Subtype by PCR (ARUP test code 2010095)
Varicella-Zoster Virus by PCR (ARUP test code 0060042)
The following tests are recommended for detecting a specific virus in specimens other than CSF. If a specific virus is suspected, please indicate the virus on the test request.
Enteric adenovirus 40-41 and rotavirus in stool. Refer to Gastrointestinal Pathogens Panel by PCR (ARUP test code 3003279).
Cytomegalovirus. Refer to Cytomegalovirus Rapid Culture (ARUP test code 0065004).
Mumps virus. Refer to Mumps Virus by PCR (ARUP test code 3000523).
Varicella-zoster virus. Refer to Varicella-Zoster Virus DFA with Reflex to Varicella-Zoster Virus Culture (ARUP test code 0060282).
Hotline History
CPT Codes
87252; 87254; If definitive identification required, add 87253.
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
2006496 | Viral Culture, Non-Resp and CMV Culture | 6584-7 |
Aliases
- adenovirus
- CMV culture, HSV culture
- CMV Rapid Culture
- cytomegalovirus
- enterovirus
- herpes simplex virus
- varicella-zoster virus
- VZV culture