BK Virus, Qualitative PCR

Molecular Diagnostics - : DNA

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

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Address:

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Additional Report to:

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TESTS REQUESTED
Test Name:	ICD9 Code: (required)
1. BK Virus, Qualitative PCR
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

LAB3382/BKVPC

Test Workstation :

DNA2

Specimen Type:

2 mL blood collected in one EDTA (purple top) tube.
2.0 mL bronchoalveolar lavage (BAL) collected in sterile container.
0.5 mL urine collected in sterile container.

Minimum Volume:

Plasma minimum volume is 0.5 mL.
BAL minimum volume is 1.2 mL.
Urine minimum volume is 0.2 mL.

Cause for Rejection:

Quantity not sufficient, specimen clotted, improper anticoagulant, improper specimen type, improper storage/transport, mislabeled, or unlabeled.

Storage:

Refrigerated

Availability:

Mon-Fri (7:30-16:00)

Methodology:

Real-time Polymerase Chain Reaction

Special Instructions:

Upon arrival in laboratory, promptly centrifuge blood specimen tube and send 1.0 mL of the plasma to the Molecular laboratory. Refrigerate.

Lab/Phone:

330-543-8722

TAT:

1-3 days

CPT Code:

87798

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BK Virus, Qualitative PCR

Molecular Diagnostics - : DNA

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