Resources

Legionella Culture

Test Code
C LEG


Preferred Specimen
Lower respiratory tract specimens including bronchial washings, bronchoalveolar lavage, bronchial brushings,
induced or expectorated sputums, endotracheal or nasotracheal suctions, tracheal aspirates
Sterile fluid such as pleural fluid, peritoneal or pericardial fluid
Lung tissue
Blood


Minimum Volume
1 ml


Instructions
All of the above specimens should be collected in sterile, screw-capped container.
Blood (collect 6-10ml in a SPS (sodium polyanethol sulfonate) tube)


Transport Temperature
For Respiratory Specimens:  ­­­­­­­­­­­­­­­Keep refrigerated.
For Tissue Samples:  Keep refrigerated.
DO NOT leave at room temperature.
DO NOT freeze


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Unacceptable specimens:
Specimens with excessive transport time
Specimen types other than those described above
NOTE: for environmental testing for Legionella, refer to Infection Preventionist for further information. 
Environmental testing not performed by hospital laboratories.


Clinical Significance
Bacteria in the genus Legionella primarily cause respiratory illness, i.e. either Legionnaires' Disease, a systemic illness manifested primarily by pneumonia, or Pontiac fever, a nonpnuemonic, influenza-like illness. Legionellae may also cause a variety of other illnesses.


Performing Laboratory
BUMCT



The CPT Codes provided in this document 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 payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.