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Test Code Billings Clinic: 4864 Mayo: UBKQN BK Virus DNA Detection and Quantification, Random, Urine

Reporting Name

BKV DNA Detect/Quant, U

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Useful For

Detection and serial monitoring of BK virus (BKV)-associated nephropathy in kidney transplant recipients using random urine specimens

 

Detection and serial monitoring of BKV-associated hemorrhagic cystitis in organ transplant recipients

Method Name

Real-Time Polymerase Chain Reaction (RT-PCR)


Specimen Required


Supplies: COBAS PCR - Urine Sample Kit (T903)

Container/Tube: cobas PCR urine tube

Specimen Volume: 4.3 mL

Collection Instructions:

1. Collect random urine into a sterile, plastic, preservative-free container.

2. Transfer 4.3 mL of urine into the cobas PCR urine sample tube using the disposable pipette provided within 24 hours of collection. The correct volume of urine has been added when the fluid level is between the black fill lines on the urine transport tube. Place the labels on the transport tube so the black fill lines are still visible for volume confirmation at Mayo Clinic Laboratories.

3. Transport and store urine specimen transport container at 2 to 30° C (refrigerate is preferred temperature).

Additional Information: cobas PCR media contains guanidine hydrochloride. Do not allow these tubes to come in direct contact with sodium hypochlorite (bleach) or other highly reactive reagents such as acids and bases. These mixtures can release a noxious gas.


Specimen Type

Urine

Specimen Minimum Volume

See Specimen Required

Specimen Stability Information

Specimen Type Temperature Time Special Container
Urine Refrigerated (preferred) 84 days COBAS PCR URINE
  Ambient  84 days COBAS PCR URINE

Reject Due To

All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.

Interpretation

The quantification range of this assay is 200 to 100,000,000 IU/mL (2.30 log to 8.00 log IU/mL), with a limit of detection (95% detection rate) at 12 IU/mL.

 

An "Undetected" test result indicates the absence of BK virus (BKV) DNA in the urine.

 

A test result of "<200 IU/mL (<2.30 log IU/mL)" indicates that BKV DNA is detected in the urine, but the assay cannot accurately quantify the BKV DNA present below this level.

 

A quantitative value (reported in IU/mL and log IU/mL) indicates the level of BKV DNA (ie, viral load) present in the urine.

 

A test result of ">100,000,000 IU/mL (>8.00 log IU/mL)" indicates that BKV DNA level present in urine is above 100,000,000 IU/mL (8.00 log IU/mL), and the assay cannot accurately quantify BKV DNA present above this level.

 

An "Inconclusive" result indicates that the presence or absence of BKV DNA in the urine specimen could not be determined with certainty after repeat testing in the laboratory, possibly due to polymerase chain reaction inhibition or presence of interfering substance. Submission of a new specimen for testing is recommended if clinically indicated.

Day(s) Performed

Monday through Saturday

Report Available

1 to 3 days

Test Classification

This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.

CPT Code Information

87799

LOINC Code Information

Test ID Test Order Name Order LOINC Value
UBKQN BKV DNA Detect/Quant, U 32285-9

 

Result ID Test Result Name Result LOINC Value
614568 BKV DNA Detect/Quant, U 32285-9

Forms

If not ordering electronically, complete, print, and send 1 of the following forms with the specimen:

-Microbiology Test Request (T244)

-Renal Diagnostics Test Request (T830)