BK Virus PCR (Qualitative) - tissue specimen (e.g., kidney biopsy)
- LIS Mnemonic: BKVPCR
Collect
Kidney biopsy specimen in viral transport medium
Volume Required
N/A
Minimum Required
punch biopsy size
Transport
Keep specimen at 4C
Unacceptable conditions
Tissue not in viral transport medium
Days Performed
Daily
Reported
Same day
Reflex Testing
N/A
CPT
87798 (qualitative BK virus PCR); 87799 (quantitative BK virus PCR)
Methodology
Amplification and detection of BK virus DNA using real-time TaqMan PCR and nucleic acid primer/probe pairs specific for conserved regions of the BK virus genome. This test is performed pursuant to an agreement with Roche Molecular Systems, Inc.
Interpretation
If positive, results are reported as BK virus DNA detected.
Reference Values
Negative or no BK virus DNA detected
Remarks
Clinical Utility: BK virus can cause ureteral ulcerations, stenosis, and hemorrhagic cystitis in renal transplant recipients. Persistent active replication of BKV in renal transplant recipients also has been associated with progressive loss of the graft due to BKV-associated nephropathy. BKV-associated hemorrhagic cystitis is a major complication of bone marrow transplants. Continuous monitoring of urine and plasma by real-time PCR is desirable to predict disease and follow recovery over time. Kidney tissue can also be tested.
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