Approval Required

For suspected/confirmed case, notify Infection Prevention immediately.
Business hours (M-F 8AM- 4PM): Adults 628-248-9059 & Pediatrics 628-248-8503 
After hours: Moffitt-Long 415-353-8036; BCH-SF 415-502-0728, MB Adults 415-502-0562

In addition to calling Infection Prevention, providers must complete a Confidential Morbidity Report (CMR) (https://www.sfcdcp.org/wp-content/uploads/2018/01/CMR-Reportable-Diseases-List-eff-2.11.22-FINAL.pdf) and submit it to the lab for each patient/case.

Available Stat

No

Performing Lab

Quest

Methodology

Real-time polymerase chain reaction

Synonyms

  • Poxvirus
  • mpox

Sample Type

Lesion swab collected in 3 mL Universal Transport Media (UTM) or equivalent

Collect

Lesion swab collected in 3 mL Universal Transport Media (UTM) or equivalent

Remarks

Swab the pustule/lesion vigorously and place the swab into a viral culture media (or equivalent) tube.

Lesion swabbing tips.

No additional confirmatory testing is required at the CDC, therefore a duplicate swab from the same lesion is not needed. If clinically indicated, consider submitting additional swabs if multiple lesions with different stages are present. Multiple specimens collected on a single patient should be submitted separately and be accompanied by its own separate requisition and transported in its own sealed bag.

Stability (from collection to initiation)

Room temperature: Unacceptable
Refrigerated: 7 days
Frozen: 30 days

Storage/Transport Temperature

Frozen

Unacceptable Conditions

Calcium Alginate swabs • Cotton swabs • Wooden shaft swabs • Dry swabs (e.g., not submitted in VCM or equivalent)

Test Code

MPXQL

Sendout

Yes

Performing Lab

Quest

Unacceptable Conditions

Calcium Alginate swabs • Cotton swabs • Wooden shaft swabs • Dry swabs (e.g., not submitted in VCM or equivalent)

Stability (from collection to initiation)

Room temperature: Unacceptable
Refrigerated: 7 days
Frozen: 30 days

Storage/Transport Temperature

Frozen

Reference Interval

Orthopoxvirus DNA, QL PCR:    Not detected
Monkeypox Virus DNA,QL PCR:    Not detected

CPT Codes

87593 x 2

Approval Required

For suspected/confirmed case, notify Infection Prevention immediately.
Business hours (M-F 8AM- 4PM): Adults 628-248-9059 & Pediatrics 628-248-8503 
After hours: Moffitt-Long 415-353-8036; BCH-SF 415-502-0728, MB Adults 415-502-0562

In addition to calling Infection Prevention, providers must complete a Confidential Morbidity Report (CMR) (https://www.sfcdcp.org/wp-content/uploads/2018/01/CMR-Reportable-Diseases-List-eff-2.11.22-FINAL.pdf) and submit it to the lab for each patient/case.

Available Stat

No

Test Code

MPXQL

Performing Lab

Quest

Sendout

Yes

Methodology

Real-time polymerase chain reaction

Remarks

Swab the pustule/lesion vigorously and place the swab into a viral culture media (or equivalent) tube.

Lesion swabbing tips.

No additional confirmatory testing is required at the CDC, therefore a duplicate swab from the same lesion is not needed. If clinically indicated, consider submitting additional swabs if multiple lesions with different stages are present. Multiple specimens collected on a single patient should be submitted separately and be accompanied by its own separate requisition and transported in its own sealed bag.

Collect

Lesion swab collected in 3 mL Universal Transport Media (UTM) or equivalent

Sample Type

Lesion swab collected in 3 mL Universal Transport Media (UTM) or equivalent

Unacceptable Conditions

Calcium Alginate swabs • Cotton swabs • Wooden shaft swabs • Dry swabs (e.g., not submitted in VCM or equivalent)

Reference Interval

Orthopoxvirus DNA, QL PCR:    Not detected
Monkeypox Virus DNA,QL PCR:    Not detected

Synonyms

  • Poxvirus
  • mpox

Storage/Transport Temperature

Frozen

Stability (from collection to initiation)

Room temperature: Unacceptable
Refrigerated: 7 days
Frozen: 30 days

CPT Codes

87593 x 2
Ordering

Approval Required

For suspected/confirmed case, notify Infection Prevention immediately.
Business hours (M-F 8AM- 4PM): Adults 628-248-9059 & Pediatrics 628-248-8503 
After hours: Moffitt-Long 415-353-8036; BCH-SF 415-502-0728, MB Adults 415-502-0562

In addition to calling Infection Prevention, providers must complete a Confidential Morbidity Report (CMR) (https://www.sfcdcp.org/wp-content/uploads/2018/01/CMR-Reportable-Diseases-List-eff-2.11.22-FINAL.pdf) and submit it to the lab for each patient/case.

Available Stat

No

Performing Lab

Quest

Methodology

Real-time polymerase chain reaction

Synonyms

  • Poxvirus
  • mpox
Collection

Sample Type

Lesion swab collected in 3 mL Universal Transport Media (UTM) or equivalent

Collect

Lesion swab collected in 3 mL Universal Transport Media (UTM) or equivalent

Remarks

Swab the pustule/lesion vigorously and place the swab into a viral culture media (or equivalent) tube.

Lesion swabbing tips.

No additional confirmatory testing is required at the CDC, therefore a duplicate swab from the same lesion is not needed. If clinically indicated, consider submitting additional swabs if multiple lesions with different stages are present. Multiple specimens collected on a single patient should be submitted separately and be accompanied by its own separate requisition and transported in its own sealed bag.

Stability (from collection to initiation)

Room temperature: Unacceptable
Refrigerated: 7 days
Frozen: 30 days

Storage/Transport Temperature

Frozen

Unacceptable Conditions

Calcium Alginate swabs • Cotton swabs • Wooden shaft swabs • Dry swabs (e.g., not submitted in VCM or equivalent)
Processing

Test Code

MPXQL

Sendout

Yes

Performing Lab

Quest

Unacceptable Conditions

Calcium Alginate swabs • Cotton swabs • Wooden shaft swabs • Dry swabs (e.g., not submitted in VCM or equivalent)

Stability (from collection to initiation)

Room temperature: Unacceptable
Refrigerated: 7 days
Frozen: 30 days

Storage/Transport Temperature

Frozen
Result Interpretation

Reference Interval

Orthopoxvirus DNA, QL PCR:    Not detected
Monkeypox Virus DNA,QL PCR:    Not detected
Administrative

CPT Codes

87593 x 2
Complete View

Approval Required

For suspected/confirmed case, notify Infection Prevention immediately.
Business hours (M-F 8AM- 4PM): Adults 628-248-9059 & Pediatrics 628-248-8503 
After hours: Moffitt-Long 415-353-8036; BCH-SF 415-502-0728, MB Adults 415-502-0562

In addition to calling Infection Prevention, providers must complete a Confidential Morbidity Report (CMR) (https://www.sfcdcp.org/wp-content/uploads/2018/01/CMR-Reportable-Diseases-List-eff-2.11.22-FINAL.pdf) and submit it to the lab for each patient/case.

Available Stat

No

Test Code

MPXQL

Performing Lab

Quest

Sendout

Yes

Methodology

Real-time polymerase chain reaction

Remarks

Swab the pustule/lesion vigorously and place the swab into a viral culture media (or equivalent) tube.

Lesion swabbing tips.

No additional confirmatory testing is required at the CDC, therefore a duplicate swab from the same lesion is not needed. If clinically indicated, consider submitting additional swabs if multiple lesions with different stages are present. Multiple specimens collected on a single patient should be submitted separately and be accompanied by its own separate requisition and transported in its own sealed bag.

Collect

Lesion swab collected in 3 mL Universal Transport Media (UTM) or equivalent

Sample Type

Lesion swab collected in 3 mL Universal Transport Media (UTM) or equivalent

Unacceptable Conditions

Calcium Alginate swabs • Cotton swabs • Wooden shaft swabs • Dry swabs (e.g., not submitted in VCM or equivalent)

Reference Interval

Orthopoxvirus DNA, QL PCR:    Not detected
Monkeypox Virus DNA,QL PCR:    Not detected

Synonyms

  • Poxvirus
  • mpox

Storage/Transport Temperature

Frozen

Stability (from collection to initiation)

Room temperature: Unacceptable
Refrigerated: 7 days
Frozen: 30 days

CPT Codes

87593 x 2