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Test Code Billings Clinic: 1192 PCR CSF Panel

Performing Laboratory

Billings Clinic Laboratory: Microbiology

Useful For

  • Central nervous system (CNS) infections are responsible for causing inflammatory conditions of the brain and/or meningeal tissues surrounding the brain (i.e. meningitis, encephalitis and meningoencephalitis). Approximately 15% of cases are fatal and many other cases result in life-long disabilities such as loss of limbs, visual and hearing deficits, seizures, and altered learning and memory.

  • The FilmArray Meningitis/Encephalitis (ME) Panel test is capable of the simultaneous detection and identification of multiple bacterial, viral and yeast nucleic acids directly from cerebrospinal fluid (CSF) specimens from patients with signs and/or symptoms of meningitis and/or encephalitis.

Methodology

Multiplex PCR

Specimen Requirements

  • Cerebrospinal Fluid (CSF) collected via lumbar puncture
  • Send refrigerated
  • Minimum volume required: 0.5 mL
  • Test as soon as possible (stable for 5 days)
  • Do not centrifuge

Reference Values

Negative

Day(s) Test Set Up

Daily

Test Classification and CPT Coding

87798 X5 - E coli K1, Hemophilus influenzae, Listeria monocytogenes, Neisseria meningitidis, Streptococcus pneumoniae

87653 - Streptococcus agalactiae

87496 - Cytomegalovirus (CMV)

87498 - Enterovirus

87529 X2 - Herpes simplex virus (HSV-1) and Herpes Simplex Virus (HSV-2)    

87532 - Human herpesvirus 6 (HHV-6)

87798 X2 - Human Parechovirus and Varicella zoster (VZV)

87798 - Cryptococcus neoformans/gatti

LOINC Code Information

Reporting Name LOINC Code
Escherichia coli K1 61398-4
Haemophilus influenzae 61366-1
Listeria monocytogenes 61369-5
Neisseria meningitidis 49671-1
Streptococcus agalactiae 48683-7
Streptococcus pneumoniae 49672-9
Cytomegalovirus (CMV) 30326-3
Enterovirus 29558-4
Human herpesvirus 6 (HHV-6) 33942-4
Herpes simplex virus 1(HSV-1) 16952-4
Herpes simplex virus 2(HSV-2) 16960-7
Human parechovirus 51669-0
Varicella-zoster virus (VZV) 21598-8
Cryptococcus neoformans/gattii 49098-7

 

Profile/Testing Information

Testing was performed using multiplex qualitative PCR for the detection of:  Escherichia coli K1, Haemophilus influenzae, Listeria monocytogenes, Neisseria meningitidis, Streptococcus   agalactiae, Streptococcus pneumoniae, Cytomegalovirus (CMV),  Enterovirus, Herpes simplex virus (HSV-1), Herpes simplex virus (HSV-2), Human herpesvirus 6 (HHV-6), Human Parechovirus, Varicella zoster (VZV) and Cryptococcus neoformans/gatti.