Enterovirus PCR, Other
| PATIENT INFO |
| Patient Name: |
| Medical Record #: |
| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
| Address: |
| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
| Ph: ( ) - Fax: ( ) - |
| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Enterovirus PCR, Other | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
EVPCO
Test Workstation :
MAYO
Specimen Type:
Body Fluid, Eye, Lesion, Respiratory
Tube Type:
Sterile container or swab in M4 Viral transport medium
Collection Volume:
Collect 0.5 mL (minimum 0.3 mL) Body fluids (pericardial, peritoneal); or Collect swab specimens in M4 Viral transport medium (Eye or Lesion swabs); 1.5mL Bronchial washing, bronchoalveolar lavage, nasopharyngeal aspirate or washing, pleural fluid, sputum, or tracheal aspirate
Cause for Rejection:
Calcium alginate tipped swab
Wood swab
Transport swab containing gel
Heat inactivated specimen
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory
Methodology:
Real-Time Polymerase Chain Reaction (PCR)/RNA Probe Hybridization
Lab/Phone:
330-543-8418
TAT:
2-3 days
Additional Info:
Reference Value: Negative
CPT Code:
87498
Synonyms:
Enterovirus
