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Qualitative detection and identification of multiple respiratory viral nucleic acids in nasopharyngeal swab (NPS) specimens obtained from individuals with signs and symptoms of respiratory tract infection, including COVID-19.
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Five Viral Targets
- HRV Human Rhinovirus
- FLU A Influenza A
- FLU B Influenza B
- RSV A/B Respiratory Syncytial Virus
- CV19 Coronavirus SARS-CoV-2
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UTM® Universal Transport Medium™ 3C057N | COPAN
- 3 mL UTM® Universal Transport Medium™
- Swab: Nylon® Flocked Swab
- Tip: Flexible Minitip
- Breakpoint: 100mm
- Tube: 16x100mm
- Cap: Red Cap
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- Wash hands thoroughly with soap and water or alcohol-based hand gel before and after the procedure.
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- Wear PPE including a surgical mask and disposable gloves.
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- When completed, dispose of all PPE and other contaminated materials in the trash.
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Open the collection kit and place the swab and the transport media on a clean surface. If the patient is wearing a mask, remove the mask to perform the procedure and replace it when done.
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Tilt the patient’s head back and insert the swab into the nostril to a visual depth equal to that of the opening of the ear. Leave the swab in place for approximately 3 seconds. Slowly remove the swab while rotating.
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Place the tip of the swab into the tube of transport media and break the shaft leaving the tip in the media. Screw the lid onto the tube and discard the shaft.
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The diagnosis codes listed below are provided as guidance and reflect medical necessity for the ordered testing/procedures. It is the responsibility of the ordering provider to ensure that the diagnosis selected accurately represents the patient’s clinical condition and supports medical necessity.
| A37.00 | Whooping cough due to Bordetella pertussis without pneumonia |
| A37.01 | Whooping cough due to Bordetella pertussis with pneumonia |
| A37.10 | Whooping cough due to Bordetella parapertussis without pneumonia |
| A37.11 | Whooping cough due to Bordetella parapertussis with pneumonia |
| A37.80 | Whooping cough due to other Bordetella species without pneumonia |
| A37.81 | Whooping cough due to other Bordetella species with pneumonia |
| A37.90 | Whooping cough, unspecified species without pneumonia |
| A37.91 | Whooping cough, unspecified species with pneumonia |
| A41.81 | Sepsis due to Enterococcus |
| A41.89 | Other specified sepsis |
| A41.9 | Sepsis, unspecified organism |
| A48.1 | Legionnaires’ disease |
| A48.2 | Nonpneumonic Legionnaires’ disease [Pontiac fever] |
| B25.0 | Cytomegaloviral pneumonitis |
| B33.23 | Viral pericarditis |
| B33.24 | Viral cardiomyopathy |
| B59 | Pneumocystosis |
| B97.21 | SARS-associated coronavirus as the cause of diseases classified elsewhere |
| B97.29 | Other coronavirus as the cause of diseases classified elsewhere |
| J05.0 | Acute obstructive laryngitis [croup] |
| J06.9 | Acute upper respiratory infection, unspecified |
| J09.X1 | Influenza due to identified novel influenza A virus with pneumonia |
| J09.X2 | Influenza due to identified novel influenza A virus with other respiratory manifestations |
| J09.X3 | Influenza due to identified novel influenza A virus with gastrointestinal manifestations |
| J09.X9 | Influenza due to identified novel influenza A virus with other manifestations |
| J10.01 | Influenza due to other identified influenza virus with the same other identified influenza virus pneumonia |
| J10.08 | Influenza due to other identified influenza virus with other specified pneumonia |
| J10.1 | Influenza due to other identified influenza virus with other respiratory manifestations |
| J10.2 | Influenza due to other identified influenza virus with gastrointestinal manifestations |
| J10.81 | Influenza due to other identified influenza virus with encephalopathy |
| J10.82 | Influenza due to other identified influenza virus with myocarditis |
| J10.83 | Influenza due to other identified influenza virus with otitis media |
| J10.89 | Influenza due to other identified influenza virus with other manifestations |
| J11.08 | Influenza due to unidentified influenza virus with specified pneumonia |
| J11.1 | Influenza due to unidentified influenza virus with other respiratory manifestations |
| J11.2 | Influenza due to unidentified influenza virus with gastrointestinal manifestations |
| J11.81 | Influenza due to unidentified influenza virus with encephalopathy |
| J11.82 | Influenza due to unidentified influenza virus with myocarditis |
| J11.83 | Influenza due to unidentified influenza virus with otitis media |
| J11.89 | Influenza due to unidentified influenza virus with other manifestations |
| J12.0 | Adenoviral pneumonia |
| J12.1 | Respiratory syncytial virus pneumonia |
| J12.2 | Parainfluenza virus pneumonia |
| J12.3 | Human metapneumovirus pneumonia |
| J12.81 | Pneumonia due to SARS-associated coronavirus |
| J12.82 | Pneumonia due to coronavirus disease 2019 |
| J12.89 | Other viral pneumonia |
| J12.9 | Viral pneumonia, unspecified |
| J13 | Pneumonia due to Streptococcus pneumoniae |
| J15.0 | Pneumonia due to Klebsiella pneumoniae |
| J15.1 | Pneumonia due to Pseudomonas |
| J15.20 | Pneumonia due to staphylococcus, unspecified |
| J15.211 | Pneumonia due to Methicillin susceptible Staphylococcus aureus |
| J15.212 | Pneumonia due to Methicillin resistant Staphylococcus aureus |
| J15.29 | Pneumonia due to other staphylococcus |
| J15.3 | Pneumonia due to streptococcus, group B |
| J15.4 | Pneumonia due to other streptococci |
| J15.61 | Pneumonia due to Acinetobacter baumannii |
| J15.69 | Pneumonia due to other Gram-negative bacteria |
| J15.7 | Pneumonia due to Mycoplasma pneumoniae |
| J15.8 | Pneumonia due to other specified bacteria |
| J15.9 | Unspecified bacterial pneumonia |
| J16.0 | Chlamydial pneumonia |
| J16.8 | Pneumonia due to other specified infectious organisms |
| J18.0 | Bronchopneumonia, unspecified organism |
| J18.1 | Lobar pneumonia, unspecified organism |
| J18.2 | Hypostatic pneumonia, unspecified organism |
| J18.8 | Other pneumonia, unspecified organism |
| J18.9 | Pneumonia, unspecified organism |
| J20.0 | Acute bronchitis due to Mycoplasma pneumoniae |
| J20.1 | Acute bronchitis due to Hemophilus influenzae |
| J20.2 | Acute bronchitis due to streptococcus |
| J20.3 | Acute bronchitis due to coxsackievirus |
| J20.4 | Acute bronchitis due to parainfluenza virus |
| J20.5 | Acute bronchitis due to respiratory syncytial virus |
| J20.6 | Acute bronchitis due to rhinovirus |
| J20.8 | Acute bronchitis due to other specified organisms |
| J20.9 | Acute bronchitis, unspecified |
| J21.9 | Acute bronchiolitis, unspecified |
| J22 | Unspecified acute lower respiratory infection |
| J44.0 | Chronic obstructive pulmonary disease with (acute) lower respiratory infection |
| J44.1 | Chronic obstructive pulmonary disease with (acute) exacerbation |
| J45.31 | Mild persistent asthma with (acute) exacerbation |
| J45.32 | Mild persistent asthma with status asthmaticus |
| J45.41 | Moderate persistent asthma with (acute) exacerbation |
| J45.42 | Moderate persistent asthma with status asthmaticus |
| J45.51 | Severe persistent asthma with (acute) exacerbation |
| J45.52 | Severe persistent asthma with status asthmaticus |
| J45.901 | Unspecified asthma with (acute) exacerbation |
| J45.902 | Unspecified asthma with status asthmaticus |
| J84.116 | Cryptogenic organizing pneumonia |
| J84.117 | Desquamative interstitial pneumonia |
| J84.2 | Lymphoid interstitial pneumonia |
| J85.0 | Gangrene and necrosis of lung |
| J85.1 | Abscess of lung with pneumonia |
| J85.2 | Abscess of lung without pneumonia |
| J85.3 | Abscess of mediastinum |
| R05.1 | Acute cough |
| R05.2 | Subacute cough |
| R05.3 | Chronic cough |
| R05.8 | Other specified cough |
| R06.02 | Shortness of breath |
| R06.03 | Acute respiratory distress |
| R06.2 | Wheezing |
| R50.9 | Fever, unspecified |
| R65.20 | Severe sepsis without septic shock |
| R65.21 | Severe sepsis with septic shock |
| R78.81 | Bacteremia |
| T86.33 | Heart-lung transplant infection |
| T86.812 | Lung transplant infection |
| U07.1 | COVID-19 |
| Z03.818 | Encounter for observation for suspected exposure to other biological agents ruled out |
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