Expanded Respiratory Pathogen Panel by PCR (with COVID), Routine
Test Mnemonic
RPPCR
CPT Codes
- 0202U - QTY (1)
Aliases
- Respiratory Viral panel
- RVP
- resp pathogen
- resp viral panel
- resp virus
- respiratory virus
Includes
- SARS-CoV-2
- Human Rhinovirus/Enterovirus
- Influenza A virus
- Influenza A virus A/H1
- Influenza A virus A/H3
- Influenza A virus A/H1-2009
- Influenza B virus
- Respiratory syncytial virus
- Bordetella parapertussis
- Bordetella pertussis
- Chlamydia pneumoniae
- Human Metapneumovirus
- Adenovirus
- Parainfluenza virus 1
- Parainfluenza virus 2
- Parainfluenza virus 3
- Parainfluenza virus 4
- Coronavirus 229E
- Coronavirus OC43
- Coronavirus NL63
- Coronavirus HKU1
- Mycoplasma pneumoniae
Performing Laboratory
Cleveland Clinic Laboratories
Specimen Requirements
| Volume | Type | Container | Collect Temperature | Transport Temperature | Special Instructions |
|---|---|---|---|---|---|
| One | Nasopharyngeal swab | Swab | Refrigerated | UTM, VTM, or saline is acceptable. |
Alternate Specimen Requirements
| Volume | Type | Container | Collect Temperature | Transport Temperature | Special Instructions |
|---|---|---|---|---|---|
| 1 mL | Bronch (BAL) | Sterile container | Refrigerated | If aliquotting is necessary, Sterile aliquot tubes must be used. Do not dilute with UTM or VTM | |
| One | Sputum, induced | Sterile container | Refrigerated | If aliquotting is necessary, Sterile aliquot tubes must be used. Do not dilute with UTM or VTM |
Stability
| Environmental Condition | Description |
|---|---|
| Refrigerated | Nasopharyngeal Swab: Stable for 3 days at 2-8°C Lower Respiratory Samples (BAL, induced sputum): Stable for 7 days at 2-8°C |
| Frozen | Nasopharyngeal Swab: Stable for 30 days at -70°C Lower Respiratory Samples (BAL, induced sputum): Stable for 30 days at -70°C |
| Ambient | Nasopharyngeal Swab: Stable for 4 hours at 15-25°C. Lower Respiratory Samples (BAL, induced sputum): Not acceptable. |
Days Performed
Sun - Sat
Turnaround Time
2 - 3 days
Methodology
| Name | Description |
|---|---|
| Multiplex | |
| Qualitiative Real-Time PCR |
Reference Range
| COVID 19 Result NP | |||||
|---|---|---|---|---|---|
| Sex | Age From | Age To | Type | Range | Range Unit |
| Negative for COVID19 (SARS CoV2) by RT-PCR or equivalent method. |
Special Info
Dry swabs (swabs not received in viral transport media) will be rejected. Lower respiratory specimens received in universal transport media or viral transport media will be rejected. Test is not performed on Cleveland Clinic Holidays.
Clinical Info
This test is for immunocompromised patients, severely ill adults who will be hospitalized and have evidence of a lower respiratory tract infection the etiology of which has not been determined, and children who are going to be admitted that are being evaluated for a suspected respiratory viral infection. Note: This test (the Respiratory Panel) should rarely be ordered in the outpatient setting, and if ordered, preauthorization should be strongly considered. The test is very expensive and if not covered by insurance the patient will incur a substantial charge.