Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

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

MRSA SCREEN, PCR

ORDERING INFORMATION:
Sunquest Test Code:
MRSAP      Geisinger Epic Procedure Code: 87641         Geisinger Epic ID: 41927

SPECIMEN COLLECTION
Specimen type:
Nasal swab, nares swab, nose 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
Specimen processing instructions:
Specimens which are bloody or contain excessive nasal secretions should be received and tested within 24 hours of collection. 
Transport temperature:
Room temperature (15-25°C). Temperature of 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 methicillin-resistant Staphylococcus aureus detected by PCR (Amplified Probe)
Critical values/courtesy alerts:
Positive. Methicillin-resistant Staphylococcus aureus detected by PCR (Amplified Probe)
Additional information:
See MRSA FAQ Sheet
CPT code(s):
87641
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 nasal colonization by methicillin-resistant S. aureus (MRSA) Staphylococcus chromosomal cassette (SCC) gene target to aid in the prevention and control of MRSA infection in healthcare settings.
Methodology:
Real-time Polymerase Chain Reaction (PCR)
Synonyms:
MRSA, MDRO, S. aureus, Methicillin resistant Staphylococcus aureus, PCR, Staph PCR, S. areus PCR, MRSA PCR, MRSA Screen, MRSA Nasal Screen, Nasal Screen, Nares Screen, Nares PCR, MRSA screen, admission, HAI, surveillance
Clinical significance:
Nasal colonization with MRSA has been shown to be a significant risk factor for transmission of MRSA to other hospitalized or institutionalized patients. Colonization may also lead to self-infection.
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

Geisinger Wyoming Valley Medical Center

Performing laboratory: Microbiology
Technical Lead: Theresa Serafin    
Frequency: Daily, all shifts    
Performed stat? No

Geisinger Community Medical Center

Performing laboratory: Microbiology
Technical Lead: Kaitlyn Clarke  
Frequency: Daily, all shifts    
Performed stat? No

Geisinger Holy Spirit Hospital

Performing laboratory: ATL+
Technical specialist: Beth Houser, PhD    
Frequency: Daily, all shifts    
Performed stat? No
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*GMC - Geisinger Medical Center; GWV - Geisinger Wyoming Valley Medical Center; GSACH - Geisinger Shamokin Area Community Hospital; GBH - Geisinger Bloomsburg Hospital;
GCMC - Geisinger Community Medical Center (Scranton); GLH - Geisinger Lewistown Hospital; GHS - Geisinger Holy Spirit; GJSH - Geisinger Jersey Shore Hospital,
GSWB - Geisinger South Wilkes-Barre