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COVID-19: Frequently Asked Questions

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General

 What is the turnaround time for COVID-19 testing at the NCSLPH?

The North Carolina Division of Public Health continues to work to contain the spread of COVID-19, and a big part of that effort is testing people at immediate risk for the virus. The North Carolina State Laboratory of Public Health (NCSLPH) is using the real-time RT-PCR test developed by the Centers for Disease Control and Prevention (CDC) and consistently maintains a turnaround time of 24-48 hours from time of specimen receipt to COVID-19 test result.

 Who should I call if I have questions about getting tested for COVID-19?

If you are a member of the public and you have general questions or concerns related to COVID-19 and/or testing, dial 211, 888-892-1162, or text COVIDNC to 898211. The NCDHHS Check My Symptoms tool can help determine if you will be recommended to be tested for COVID-19, and will provide a list of nearby specimen collection sites. If you need testing you can also call your doctor or your Local Health Department, or find a nearby specimen collection location at My Testing Place. Anyone interested in getting tested should call the specimen collection site before they go to learn about testing criteria, availability, hours, and location.

 What is the best way to contact the NCSLPH if I need more information?

  • For non-urgent, laboratory-related questions, please email slph.covid19@dhhs.nc.gov.
  • For laboratory-related questions during normal business hours (8am - 5pm, Monday – Friday) please call the NCSLPH Customer Service at 919-733-3937.

Obtaining Specimen Collection Materials

 Our facility is in need of specimen collection supplies for COVID-19 testing. Are there resources available?

Yes, facilities can now request COIVD-19 specimen collection supplies at the NCDHHS website using their online ordering system.

County Health Departments, Federally Qualified Health Centers, or other facilities serving uninsured populations may elect to request NCSLPH Specimen Collection Kits. These Specimen Collection Kits must be returned to the NCSLPH for testing. Submissions to other laboratories using these specific supplies may result in specimen rejection.

 Has the process for requesting NCSLPH Specimen Collection Kits changed for the County Health Departments?

County Health Departments requesting these specimen collection supplies can either use the new ordering system, or continue to submit their requests through their County Emergency Management.

NCSLPH Specimen Collection Kits

 What comes in the COVID-19 specimen collection kit?

The following supplies are provided in COVID-19 specimen collection kits: COVID-19 Submission Form, collection instructions, cold pack information, specimen label, address label, UN3373 shipping label, Styrofoam shipping container, 2 cold packs, 3 vials of sterile viral transport medium, 3 conical tubes, 3 sterile synthetic swabs for NP collection.

 Can unused kit items be incorporated in additional specimen collections?

Facilities that have previously ordered and received NCSLPH COVID-19 Specimen Collection Kits can incorporate unused collection materials (vials of transport medium, if stored at 2-8°C, and unopened swabs) for future specimen collections.

 Can I send back multiple specimens in one kit box to conserve shipping supplies?

Yes, however do not wait to batch specimens for shipment. If sending multiple specimens, each vial of viral transport medium must be clearly labeled and separated in its own padded conical tube, inside its own plastic bag along with a COVID-19 Submission Form. Ensure that all cold packs provided have been properly frozen prior to shipment and are returned to the NCSLPH with the specimens collected. If returning large numbers of specimens to the NCSLPH at once, please package them in a way that allows for the rapid identification of which requisition form goes with which specimen.

Specimen Collection

 How should specimens be collected for COVID-19 testing?

Please see our Specimen Collection Handout and Specimen Collection Kit Instructions.

 What type of transport medium needs to be used for specimen collection?

The NCSLPH kit includes a vial with 2mls of sterile viral transport medium (VTM). Other commercially available substitutions can be found on the FDA website under “Testing Supply Substitution Strategies” slide show.

 What are the ICD-10 and CPT codes for COVID-19 and COVID-19 testing?

CMS has announced new Healthcare Common Procedure Coding System (HCPCS) codes for healthcare providers and laboratories to test patients for SARS-CoV-2. A description of the codes and test pricing can be found in the Medicare Administrative Contractor (MAC) COVID-19 Test Pricing, May 19, 2020 summary.

Shipping Specimens

 Can health care providers submit specimens for COVID-19 testing without using the NCSLPH COVID-19 Specimen Collection Kit?

Yes. Please see the Specimen Collection and Shipment Handout for detailed information about specimen collection, submission, and packaging/shipping.

 I want to send specimens to the NCSLPH. What are the hours of operation for specimen receipt?

The NCSLPH loading dock is open for package receipt Monday - Friday from 8am - 5pm and Saturday and Sunday from 8am - noon.

  1. County Health Departments can now use a UPS interface for ordering return labels for COVID-19 specimens. This service also includes labels for Saturday deliveries. Please contact slph.covid19.tracking@dhhs.nc.gov to request instructions if needed. Return labels are only being provided for COVID-19 specimens coming to the NCSLPH for testing.
  2. We are strongly recommending that all other healthcare providers use overnight couriers, or their facility associated couriers for specimen submission during the hours provided above.
  3. The State Courier cannot be used for COVID-19 specimens.

 Is the NCSLPH providing Cat B shipping supplies to facilities sending specimens for COVID-19 testing?

NCSLPH is providing county health departments with COVID-19 Specimen Collection Kits that contain everything needed for the collection, packaging and shipment of COVID-19 specimens as UN3373 Category B to the NCSLPH. All other facilities can order Cat B shipping supplies from commercial vendors. Here are some Vendor suggestions for purchasing these supplies: Saf-T-Pak through Fisher, Com-Pac, TheraPak.

Other Diagnostics and Case Reporting

 Is there a reliable list of assays that have an FDA approved Emergency Use Authorization (EUA)?

The FDA website has a list of in vitro diagnostic EUAs.

 Where can I find more information about serologic tests?

The FDA has created a website detailing the performance characteristics of serologic tests that currently have an EUA, as well as provides general information. The CDC also has several resources available regarding serologic testing.

 Where can I find more information about antigen tests?

The Association of Public Health Laboratories (APHL) has published the following guidance document for facilities considering rapid antigen testing.

 Can local health departments use point-of-care COVID-19 tests with a CE mark of approval for use?

No. Local health departments must only use kits that have an FDA-approved EUA. Point-of-care tests, diagnostic kits, and instruments must be approved by the FDA prior to use.

 My laboratory is performing SARS-CoV-2 testing. What guidance is available about reporting results?

The US Department of Health and Human Services released the following guidance on June 4, 2020, and they have created an FAQ on the topic.

In North Carolina, pursuant to Session Law 2020-4 Section 4.10.(a), the Department of Health and Human Services will be requiring each person in charge of a laboratory providing diagnostic service in this State and any other health care provider licensed in this State that provides diagnostic service to report the results of all COVID-19 testing to the Department of Health and Human Services. The Department is currently testing a three-step electronic file submission method to support this reporting requirement. Additional information about the effective date and process for this requirement are forthcoming. Meanwhile, laboratories and businesses are advised to continue their current submission process and complete the registration step from the electronic file submission method.