Phoebe Health Mycobacterium Non-Sputum

Test Code
13304


CPT 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 CPT codes(s) 87801 and M. avium-intracellulare DNA, QL Real-Time PCR CPT codes(s) 87561 will be added.



Preferred Specimen
4 mL bronchial lavage/wash collected in a sterile, leak-proof container


Minimum Volume
2 mL


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: Unacceptable
Refrigerated: 5 days
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimen received in formalin and/or alcohol • Specimens containing heparin


Methodology
Culture • Smear

Setup Schedule
Set up: Daily; Report available: 42 days


Reference Range
See Laboratory Report




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.