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Test Code LEBV Epstein-Barr Virus (EBV), Molecular Detection, PCR

Additional Codes

UCL: YM6

Powerchart: NA

Epic: LAB3448 Epstein Barr Virus PCR, Other

Reporting Name

Epstein-Barr Virus PCR

Useful For

Rapid qualitative detection of Epstein-Barr virus (EBV) DNA in specimens for laboratory diagnosis of disease due to this virus

Performing Laboratory

Mayo Medical Laboratories in Rochester

Specimen Type

Varies


Necessary Information


Specimen source is required.



Specimen Required


Supplies: Aliquot Tube, 5 mL (T465)

Specimen Type: Fluid

Sources: Spinal fluid, sterile body fluids (peritoneal fluid/ascites, pericardial fluid, pleural fluid/thoracentesis, amniotic, or ocular

Preferred: 12 x 75-mm screw cap vial (T465)

Acceptable: Sterile container

Specimen Volume: 0.5 mL

Collection Instructions: Do not centrifuge.

 

Supplies: Aliquot Tube, 5 mL (T465)

Specimen Type: Fluid

Sources: Respiratory; bronchial washing, bronchoalveolar lavage, nasopharyngeal aspirate or washing, sputum, or tracheal aspirate

Container/Tube:

Preferred: 12 x 75-mm screw cap vial (T465)

Acceptable: Sterile container

Specimen Volume: 1.5 mL

 

Supplies:

Culturette (BBL Culture Swab) (T092)

M5 Media (T484)

Specimen Type: Swab

Sources: Eye swabs and upper respiratory swabs (nasal, throat)

Container/Tube: BBL CultureSwab (T092) or multimicrobe media (M5) (T484)

Collection Instructions: Place swab into multimicrobe media (M5) (T484) or other viral transport media.

 

Specimen Type: Bone marrow

Container/Tube: Lavender top (EDTA) only

Specimen Volume: 0.5 mL

Additional Information: Clotted specimens will be rejected.

 

Supplies: M5 Media (T484)

Specimen Type: Tissue

Sources: Brain, colon, kidney, liver, lung, etc.

Preferred: Multimicrobe medium (M5) (T484)

Acceptable: Sterile container with 1 to 2 mL of sterile saline

Specimen Volume: Entire collection

Collection Instructions: Submit only fresh tissue.


Specimen Minimum Volume

Body Fluid, Ocular Fluid, Spinal Fluid: 0.3 mL; Respiratory Specimens: 1 mL; Tissue: 2 × 2-mm biopsy

Specimen Stability Information

Specimen Type Temperature Time
Varies Refrigerated (preferred) 7 days
  Frozen  7 days

Reference Values

Negative

Day(s) and Time(s) Performed

Monday through Friday; 6 a.m.

Test Classification

This test was developed using an analyte specific reagent. Its performance characteristics were determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the U.S. Food and Drug Administration.

CPT Code Information

87798

LOINC Code Information

Test ID Test Order Name Order LOINC Value
LEBV Epstein-Barr Virus PCR In Process

 

Result ID Test Result Name Result LOINC Value
SRC67 Specimen Source 31208-2
81239 Epstein-Barr Virus PCR 23858-4

Reject Due To

Hemolysis

NA

Lipemia

NA

Icterus

NA

Other

Calcium alginate-tipped swab, wood swab, or transport swab containing gel; formalin-fixed and paraffin-embedded tissues

Method Name

Real-Time Polymerase Chain Reaction (PCR)/DNA Probe Hybridization
(PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.)

Forms

If not ordering electronically, complete, print, and send a Microbiology Test Request Form (T244) with the specimen (http://www.mayomedicallaboratories.com/it-mmfiles/microbiology_test_request_form.pdf)

Secondary ID

81239