Sonora Quest COVID-19 Test Information2020-04-05T18:52:38+00:00

Sonora Quest COVID-19 Test Information

Testing now available for coronavirus (COVID-19)

As Arizona’s leader in diagnostic information services, Sonora Quest is committed to fast action on emerging health threats for which laboratory testing can provide critical insights aiding response. Please be sure to check this website regularly for any COVID-19 related updates.

Sonora Quest Laboratories is now able to receive COVID-19 specimens and perform testing locally at our main lab in Tempe. Click here for test information.

This new test requires respiratory specimens be collected in appropriate healthcare settings, such as hospitals and physician offices.

Sonora Quest Laboratories Patient Service Centers, in-office phlebotomists, and mobile phlebotomists cannot collect respiratory specimens, including those from patients suspected of having COVID-19.

The Sonora Quest Laboratories test for COVID-19 is a qualitative, molecular test to detect RNA from SARS-CoV-2, the virus which causes COVID-19. This test has been authorized by the FDA under Emergency Use Authorization (EUA) for use by authorized laboratories.

Sonora Quest Laboratories is monitoring the situation closely, and is committed to helping you provide the best care for your patients. Our priority is the health and safety of our employees, patients, and the communities we serve.

Test Codes

Test 907080 SARS-CoV-2 RNA, QL, RT PCR (COVID-19) – Swabs
Available: 3/20/20
Specimen: Preferred – Upper respiratory specimen: refrigerated nasopharyngeal or oropharyngeal swab in
ViroPak Viral Transport Media. Other acceptable Viral Transport Media accepted include UTM,
UVT, liquid Amies (eSwab), or equivalent. Sonora Quest provides the following supplies which
may be ordered through your normal process:
• Nasopharyngeal (Small Swab) – Supply #20012
• Throat (Large Swab) – Supply #20011
• eSwab – Blue-Cap Mini-Tip Culture Swab (Nasopharyngeal) – Supply #25785
• eSwab – White-Cap Routine Culture Swab (Throat) – Supply #25784
Nasopharyngeal collection instructions and other resources can be found at
www.SonoraQuest.com/coronavirus.
Important Notes:
• Order the COVID-19 test separately from any other tests on a separate requisition.
Additional tests cannot be performed from the sample submitted and we are unable to
add-on COVID-19 testing from previously submitted samples.
• If submitting both a nasopharyngeal and oropharyngeal (throat) sample, submit both
swabs in one vial on a single order, or submit the vials separately on two separate orders.
• To ensure timely processing of samples for testing, the source MUST be written on the
specimen container and included on the order.
• Complete the ask-at-order-entry questions when placing your order to ensure timely
processing of samples.
• Samples must be collected by the healthcare provider. Sample collection is not available
at Sonora Quest Laboratories Patient Service Centers and will not be performed by any
Sonora Quest Laboratories phlebotomists, including in-office phlebotomists and our
mobile diagnostic service staff. In-office phlebotomists may accept office collected
samples that have been properly capped, labeled and placed in a zip locked specimen
bag with the necessary paperwork included.
• If leaving specimens in a lock box, placing a frozen ice pack inside will ensure refrigerated
specimens stay cool and viable for testing.
• Samples should be treated as routine as this test is not available to be picked up or
performed STAT. Please place all individual COVID-19 samples into one larger plastic bag
for pick-up.
*The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions
regarding coding to the payer being billed.
Client Grams include updated and supplemental laboratory information. Please access our online Test Directory at www.SonoraQuest.com for the most current information
Stability: Room temperature: 48 Hours
Refrigerated: 48 Hours
Frozen: If delivery and processing exceed 48 hours, store specimens at -70°C or lower and
transport overnight in dry ice.
Method: Real-Time RT-PCR
Reference
Ranges:
Not Detected
Setup: Days, Evenings, & Nights: Monday through Sunday
Reports: 2-4 Days (will vary based on testing demand)
CPT*: 87635 (Commercial); U0002 (Medicare/Medicare Advantage/Medicaid)
Price: Client: $77.00 Patient: $77.00
Interface
Mapping:
Result Code
30907080
10907080
20907080
Result Name
Overall result
SARS-CoV-2 RNA
Pan-SARS RNA
Ask at order entry question:
Result Code
80907080
90907080
Result Name
Patient Symptomatic?
Source:
Response Options
Y/N
Nasopharyngeal swab/Oropharyngeal
swab
Comments: This test has been authorized by the FDA under Emergency Use Authorization (EUA) for use by
authorized laboratories.

Information provided by Sonora Quest Laboratories. Retrieved 04/05/2020. Information should be used with caution. Contact Sonora Quest for the most up to date resources. 

Retrieved from https://www.sonoraquest.com/covid-19-information-for-healthcare-providers/

Sonora Quest COVID-19 Test FAQ

What is coronavirus (COVID-19)?

COVID-19 is the name for the respiratory syndrome caused by infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

What is the Sonora Quest Laboratories test for COVID-19?

Sonora Quest test code 907080 – SARS-CoV-2 RNA, QL, RT PCR (COVID-19) – Swabs is a qualitative molecular assay, which amplifies the RNA of the SARS-CoV-2 virus in human specimens such as nasopharyngeal or throat swabs (upper respiratory). Alternative specimens, including bronchial lavage/wash, or sputum/tracheal aspirate are also acceptable  using test code 907078 – SARS-CoV-2 RNA, QL REAL-TIME RT-PCR (COVID-19) – Non-Swabs.

Does Sonora Quest offer serology / blood based antigen/antibody testing for COVID-19?

Currently there is no clinical guidance for the use of serological testing for COVID-19. One of the main limitations with serology-based testing is a person’s slow development of IgM/IgG antibodies. Typically, antibodies do not develop until 7-10 days after symptom onset. Current testing using molecular/PCR assays can detect a positive patient almost immediately. Serology would not serve as a timely diagnostic tool. Another concern with this methodology is the potential cross-reactivity with non-SARS-CoV-2 coronavirus strains; such as coronavirus HKU1, NL63, OC43, or 229E, which cause the common cold. This cross-reactivity has the potential of causing false positive results. There is currently no data concerning whether these blood based assays can assess immunity after infection.

How can I order the Sonora Quest Laboratories test for COVID-19?

Physicians may order testing on swabs (Nasopharyngeal or Oropharyngeal) using test code 907080 through normal ordering processes. For testing on sputum or aspirates/washes, physicians may order test code 907078. Any order for COVID-19 must be submitted on a separate requisition and packaged separate from other tests.

What facilities can collect specimens?

Specimens are to be collected by hospitals, physician offices, and clinics. Sonora Quest Laboratories Patient Service Centers and Sonora Quest’s in-office phlebotomists do not collect respiratory specimens, including those from patients suspected of having COVID-19.

What type of specimen is collected?

Currently, nasopharyngeal (NP) and/or oropharyngeal (OP) swab testing is being performed using test code 907080. Lower respiratory specimen tests, including bronchial lavage/wash, or sputum/tracheal aspirate samples can also be submitted using test code 907078 and will be frozen upon receipt. One test for COVID-19 will be performed per requisition.

Can I put multiple specimen vials in one bag?

No. Each specimen vial must be transported in its own sealed bag.

What type of swab should be utilized to collect the upper respiratory sample?

Preferred samples for test 907080 are upper respiratory specimens: refrigerated nasopharyngeal or oropharyngeal swab in ViroPak Viral Transport Media. Other acceptable Viral Transport Media accepted include UTM, UVT, liquid Amies (eSwab), or equivalent. Sonora Quest provides the following supplies which may be ordered through your normal process:

  • Nasopharyngeal (Small Swab) – Supply #20012
  • Throat (Large Swab) – Supply #20011
  • eSwab – Blue-Cap Mini-Tip Culture Swab (Nasopharyngeal) – Supply #25785
  • eSwab – White-Cap Routine Culture Swab (Throat) – Supply #25784

Lower respiratory specimens can be submitted for test 907078: 0.85 mL refrigerated bronchial lavage/wash, nasopharyngeal aspirate/wash, sputum, or tracheal aspirate in a plastic, sterile, leak-proof container.

How do I order appropriate supplies for COVID-19 testing?

Supplies can be ordered through our SonoraQuest.com Provider Portal, Quanum, or by faxing a Client Supply Request Form to 602.685.5402 in Phoenix (central and northern AZ), or 520.296.5607 in Tucson (southern AZ).

Are there still shortages to do all these tests?

All labs are dealing with a global supply shortage of the sample collection kits needed for the testing. Sonora Quest is actively and continuously pursuing all options for supplies.

What is the specimen stability?

Specimens have a 48-hour ambient and refrigerated stability. Samples can also be frozen. If leaving specimens in a lock box, placing a frozen ice pack inside will ensure refrigerated specimens stay cool and viable for testing.

Are there any special storage or transport procedures for COVID-19 specimens?

Samples should be transported referigerated (preferred) but can be submitted frozen. If leaving specimens in a lock box, placing a frozen ice pack inside will ensure refrigerated specimens stay cool and viable for testing. Specimens should be transported to Sonora Quest Laboratories according to standard operating procedures. SARS-CoV-2 RNA, Qualitative Real-Time RT-PCR test is not a STAT test and STAT pick-up cannot be ordered.

What state are tests being sent to?

As of March 20, 2020, Sonora Quest performs this testing in-house at our main laboratory in Tempe for all swab samples using test code 907080.

Testing is also available on lower respiratory samples (0.85 mL refrigerated bronchial lavage/wash, nasopharyngeal aspirate/wash, sputum, or tracheal aspirate in a plastic, sterile, leak-proof container) using test code 907078 which is sent to Quest Diagnostics Infectious Disease laboratory in California.

What is expected turnaround time?

2-4 days from the time of specimen pickup, but this may vary depending on demand.

How do I get my results?

Providers will receive a phone call if the test result is positive or inconclusive. Patients can access their results through the SonoraQuest.com Patient Results Portal.

How many samples has Sonora Quest Laboratories received for COVID-19 testing?

The number of samples changes each day. Please contact our media rep listed on this page for up-to-date numbers.

Will you be publicly reporting how many people you test?

Yes – we are reporting all results to the Arizona Department of Health Services, so our results are represented in the numbers they are distributing. The Arizona Department of Health Services is tracking statewide statistics and they can be contacted to provide that information as they are able to share. Additionally, we are sharing the total number of COVID-19 tests that we have performed, along with the average result turnaround time, and positivity rate with all major Arizona media outlets on a daily basis.

Have any of the positive coronavirus cases in Arizona been determined by Sonora Quest testing?

Yes – we are reporting all results to the Arizona Department of Health Services, so our results are represented in the numbers they are distributing. The Arizona Department of Health Services is tracking statewide statistics and they can be contacted to provide that information as they are able to share.

Information provided by Sonora Quest Laboratories. Retrieved 04/05/2020. Information should be used with caution. Contact Sonora Quest for the most up to date resources. 

Retrieved from https://www.sonoraquest.com/covid-19-information-for-healthcare-providers/

Sonora Quest COVID-19 Test Code Guide

Sonora Quest COVID-19 test code information
View Test Menu

COVID-19 Test Kit Resources

Resources for collecting COVID-19 specimens including swabs, vials and transport medium.
Test Kit Resources

COVID-19 Provider Resources

Resources for providers related to COVID-19 testing, specimens, labs and insurance.
Provider Resources

Arizona COVID-19 Testing

Resources for Arizona residents wishing to have COVID-19 testing.
Arizona COVID-19 Testing