Viral Culture, Respiratory and Cytomegalovirus Rapid Culture
Ordering Recommendation
Molecular diagnostics are preferred for suspected invasive cytomegalovirus (CMV).
New York DOH Approval Status
Specimen Required
Bronchoalveolar lavage (BAL), nasopharyngeal aspirate, swab, or washing, or tracheal aspirate, sputum, throat, tissue (lung, etc.).
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
Refer to report.
Standard
Note
Identification is billed separately from culture. Viruses that can be isolated include adenovirus; cytomegalovirus; enterovirus; herpes simplex virus; influenza A and B; parainfluenza types 1, 2, 3; RSV; 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 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.
Cytomegalovirus. Refer to Cytomegalovirus Rapid Culture (ARUP test code 0065004)
Human metapneumovirus (hMPV). hMPV can be detected by DFA staining or nucleic acid testing. Refer to Human Metapneumovirus by DFA (ARUP test code 0060779) and Respiratory Viruses DFA (ARUP test code 0060289), or Human Metapneumovirus by PCR (ARUP test code 0060784)
Mumps virus. Refer to Mumps Virus by PCR (ARUP test code 3000523)
Respiratory syncytial virus (RSV). Refer to Respiratory Syncytial Virus DFA (ARUP test code 0060288)
Respiratory viruses. Refer to Respiratory Viruses DFA Stain, ARUP test code 0060289)
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 |
---|---|---|
2006497 | Viral Culture, Resp and CMV Culture | 6584-7 |
Aliases
- Adenovirus Culture
- CMV culture
- CMV rapid culture
- culture for virus
- cytomegalovirus
- enterovirus
- herpes simplex virus
- HSV culture
- influenza A and B
- parainfluenza types 1, 2, 3
- RSV culture
- varicella-zoster virus
- VSV culture