Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Test Name: Sunquest Test Code Epic Procedure Code Or ID CPT Code:  

VRE SCREEN, PCR

ORDERING INFORMATION:
Sunquest Test Code:
VREP      Geisinger Epic Procedure Code: 87500.01         Geisinger Epic ID: 43049

SPECIMEN COLLECTION
Specimen type:
Rectal swab (FDA approved) or perinanal swab
Preferred collection container:
Alternate Collection Container:
Copan Venturi Transystem Liquid Stuart single or double swab
Cepheid sample collection device
BBL CultureSwab Liquid Stuarts single or double swab
Special notes:
See Microbiology Collection Appendix for collection instructions. Check expiration date on transport device before use.

SPECIMEN PROCESSING
Transport temperature:
Room temperature (2-30°C is acceptable)
Specimen stability:
All swab types: 2-8°C for 5 days. Room temperature (15-25°C) = 24 hours.
Rejection criteria:
Improperly labeled/identified specimens. Specimens which exceed stability limits. Expired collection device/swab. Collection of specimen with non-approved swabs. Improper specimen type.

TEST DETAILS
Reference interval:
Negative. No vanA gene detected by PCR (Amplified Probe)
Critical values/courtesy alerts:
Positive. vanA gene detected by PCR (Amplified Probe), Vancomycin Resistant Enterococcus
Additional information:
See vanA (VRE) FAQ Sheet
CPT code(s):
87500
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.  The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.
Test includes:
The direct detection of colonization of Vancomycin Resistant Enterococci - VRE (vanA gene) to aid in the prevention and control of VRE infections in healthcare settings.
Methodology:
Real-time Polymerase Chain Reaction (PCR)
Synonyms:
VRE, Enterococci, Enterococcus, rectal, perianal, culture, screen, Vancomycin resistance, VRE, E. faecium, E. faecalis
Clinical significance:
Colonization with vanA (VRE) has been shown to be a significatant risk factor for transmission of VRE to other hospitalized or institutionalized patients.
Doctoral Director(s:)
Donna Wolk PhD, D(ABMM), Raquel Martinez, PhD, D(ABMM)    
Review Date: 05/06/2019

Performing Locations

Geisinger Medical Center

Performing laboratory: Microbiology
Technical Lead: Barbara Heiter
Frequency: Daily, all shifts
Performed stat? No
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