Reference respiratory virus testing communications for most recent information
Provider News and Publications
Collection Instructions
Nasopharyngeal Swab Method (Preferred)
Use only synthetic fiber swabs with plastic shafts. Do not use calcium alginate swabs or swabs with wooden shafts, as they may contain substances that inhibit PCR testing.
1.) Carefully insert swab into the nostril parallel to the palate.
2.) Rotate swab over surface of posterior nasopharynx, keeping the swab in the nasopharynx for several seconds to absorb secretions.
3.) Slowly withdraw swab from collection site
4.) Insert immediately into sterile tube containing 3mL transport media. You will need to break off or cut the swab shaft to fit in the vial.
5.) Securely close the vial.
6.) Label vial with specimen identification label or hand label. Specimen must be labeled with last name, first name and date of birth.
7.) Place each vial in a separate, individual specimen transport bag. Seal the zip lock. Place folded paper requisition in the outer front pocket of the transport bag.
Collect
Upper respiratory specimens: nasopharyngeal swab in UTM
Lower respiratory specimens: BAL, Bronch wash, ETT, TA, Sputum in sterile container. (Tested at UR Central Lab)
Specimen source is required.
Highland Hospital: NP swabs in UTM for on-site testing. All lower respiratory samples are sent to the UR Central Lab for testing.
Storage/Transport Temperature
Transport to the laboratory immediately at room temperature. (HH or refrigerated)
DO NOT FREEZE.
Unacceptable Conditions
Unlabeled specimens.
Leaking or non-sterile containers.
Wooden swabs.
Swabs not collected and placed in UTM.
Frozen samples.
Specimens submitted without a source.
Remarks
Testing for COVID-19 is availble based on the provider's clinical judgement. At a minimum, patients should have influenza-like illness or febrile lower respiratory infection.
Stability (from collection to initiation)
Ambient: 48 hours
Refrigerated (2-8°C): 7 days
Collection device
UNIVERSAL TRANSPORT MEDIA
Minimum Requirements
1.0 mL
Test Barcode Number
20729
Lab Section
Microbiology (Virology)
Methodology
Reverse Transcription Polymerase Chain Reaction
Performed
Sun - Sat
Reported
1 day
Synonyms
Flu (Influenza A and B / Respiratory Syncytial Virus by RT-PCR)
Testing includes: Influenza A PCR, Influenza B PCR and RSV PCR
Reference Interval
Negative
CPT Codes
87631
LOINC Mapping
INFA2: 34487-9
INFB2: 40982-1
RSVR2: 40987-0
Order Type (Individual or Group)
G
Group Test Information
Result Test ID
Reportable
Result Test Name
Result Type
Type (Alpha or Numeric)
Prompt Test
INFA2
Y
INFLUENZA A NAAT
I
A
N
INFB2
Y
INFLUENZA B NAAT
I
A
N
RSVR2
Y
RSV NAAT
I
A
N
SORC6
Y
FLU/RSV SOURCE
I
A
Y
Prompt Test
SORC6 - Response Options (Case Sensititive)
1. Nasopharyngeal
2. Sputum
3. Tracheal asp
4. BAL
5. Endotracheal asp
6. Bronchial wash
7. Bronchial brush
CPT Codes
87631
LOINC Mapping
INFA2: 34487-9
INFB2: 40982-1
RSVR2: 40987-0
Pricing
Refer to Lab Account Manager. email: labservicesoutreach@urmc.rochester.edu
Specimen Requirements
Ordering Recommendations
Reference respiratory virus testing communications for most recent information
Provider News and Publications
Collection Instructions
Nasopharyngeal Swab Method (Preferred)
Use only synthetic fiber swabs with plastic shafts. Do not use calcium alginate swabs or swabs with wooden shafts, as they may contain substances that inhibit PCR testing.
1.) Carefully insert swab into the nostril parallel to the palate.
2.) Rotate swab over surface of posterior nasopharynx, keeping the swab in the nasopharynx for several seconds to absorb secretions.
3.) Slowly withdraw swab from collection site
4.) Insert immediately into sterile tube containing 3mL transport media. You will need to break off or cut the swab shaft to fit in the vial.
5.) Securely close the vial.
6.) Label vial with specimen identification label or hand label. Specimen must be labeled with last name, first name and date of birth.
7.) Place each vial in a separate, individual specimen transport bag. Seal the zip lock. Place folded paper requisition in the outer front pocket of the transport bag.
Collect
Upper respiratory specimens: nasopharyngeal swab in UTM
Lower respiratory specimens: BAL, Bronch wash, ETT, TA, Sputum in sterile container. (Tested at UR Central Lab)
Specimen source is required.
Highland Hospital: NP swabs in UTM for on-site testing. All lower respiratory samples are sent to the UR Central Lab for testing.
Storage/Transport Temperature
Transport to the laboratory immediately at room temperature. (HH or refrigerated)
DO NOT FREEZE.
Unacceptable Conditions
Unlabeled specimens.
Leaking or non-sterile containers.
Wooden swabs.
Swabs not collected and placed in UTM.
Frozen samples.
Specimens submitted without a source.
Remarks
Testing for COVID-19 is availble based on the provider's clinical judgement. At a minimum, patients should have influenza-like illness or febrile lower respiratory infection.
Stability (from collection to initiation)
Ambient: 48 hours
Refrigerated (2-8°C): 7 days
Collection device
UNIVERSAL TRANSPORT MEDIA
Minimum Requirements
1.0 mL
Test Barcode Number
20729
Testing
Lab Section
Microbiology (Virology)
Methodology
Reverse Transcription Polymerase Chain Reaction
Performed
Sun - Sat
Reported
1 day
Synonyms
Flu (Influenza A and B / Respiratory Syncytial Virus by RT-PCR)