Test Code LAB6104A2 COVID-19 PCR
Methodology
Real-Time Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) performed using the Xpert Xpress SARS-CoV-2 test (Cepheid).
Performing Laboratory
RCH
Specimen Requirements
Preferred: Nasopharyngeal Swab in 3 mL Viral Transport Medium (VTM).
Alternative Sample Types: Nasal wash/aspirate, Mid-Turbinate Swab or Nasal Swab in VTM
Proper specimen collection, storage, and transport are critical to the performance of this test.
Specimen Stability:
Store and Transport Refrigerated (2–8 °C)
Stable up to seven days refrigerated.
Stable at Room temperature (15–30 °C) up to 8 hours
Nasopharyngeal Swab Collection Procedure
Insert the swab into a nostril, passing it into the posterior nasopharynx (see Figure 1). Rotate swab by firmly brushing against the nasopharynx several times. Repeat the procedure for the other nostril using the same swab. Place the swab into the tube containing 3 ml of viral transport medium. Break swab at the indicated break line and cap the specimen collection tube tightly.
Mid-Turbinate Swab Collection Procedure
Insert the mid-turbinate swab into a nostril, passing it into the mid-turbinate area (see Figure 4). Rotate swab by firmly brushing against the mid-turbinate area several times. Repeat the procedure for the other nostril using the same swab. Place the swab into the tube containing 3 ml of viral transport medium. Break swab at the indicated break line and cap the specimen collection tube tightly.
Nasal Swab Collection Procedure
Insert a nasal swab 1 to 1.5 cm into a nostril. Rotate the swab against the inside of the nostril for 3 seconds while applying pressure with a finger to the outside of the nostril (see Figure 2). Repeat on the other nostril with the same swab, using external pressure on the outside of the other nostril. To avoid specimen contamination, do not touch the swab tip to anything other than the inside of the nostril. Remove and place the swab into the tube containing 3 ml of viral transport medium. Break swab at the indicated break line and cap the specimen collection tube tightly.
Day(s) Test Set Up
Monday-Sunday
Test Classification and CPT Coding
87635