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Phoebe Health Mycobacterium Sputum
Test CodeCPT Codes
87015, 87116, 87206<br>Restricted Client Code
Includes
Mycobacteria Culture, Concentration, Acid-Fast Bacilli Stain: An additional charge for Concentration (CPT code(s): 87015) will be added as appropriate.
Identification will be performed at an additional charge for each organism: CPT code(s) 87118: Matrix Assisted Laser Desorption/Ionization-Time of Flight.
If the organism cannot be identified by the original method additional charges will be added for each organism: CPT code(s) 87153: AFB Sequencing.
If TB is isolated for the first time or after three months after the first isolate from a patient, susceptibilities will be performed at an additional charge (CPT code(s): 87190 per drug).
If M. avium complex (MAC) is isolated, appropriate susceptibilities will automatically be performed at an additional charge (CPT code(s): 87186).
If other Mycobacteria species are isolated, appropriate susceptibilities can be performed at an additional charge if requested (CPT code(s): 87186 per organism).
If the Mycobacteria Stain result includes ?Acid fast bacilli seen?, Mycobacterium tuberculosis Complex and Rifampin Resistance, PCR, Sputum CPT codes(s) 87801 and M. avium-intracellulare DNA, QL Real-Time PCR CPT codes(s) 87561 will be added.
Preferred Specimen
Minimum Volume
Transport Temperature
Specimen Stability
Refrigerated: 5 days
Frozen: Unacceptable
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Methodology
Culture • Smear
Setup Schedule
Reference Range