Mycobacterium avium Complex, MIC Panel [19796X]

Test Code

19796

CPT Codes
87186

Includes

Amikacin, Amikacin (Liposomal, Inhaled), Ciprofloxacin, Clarithromycin, Clofazimine, Doxycycline, Linezolid, Minocycline, Moxifloxacin, Rifampin, Rifabutin, Streptomycin

Preferred Specimen

1 slant/plate/broth pure culture of isolate safely contained in Lowenstein-Jensen or Middlebrook 7H10 agar slant/plate or equivalent or positive AFB broth medium isolate safely contained in a double-walled container

Instructions

Isolate must be submitted in 95k bag.
Identification of the isolate is required.

Transport Temperature

Room temperature

Specimen Stability

Room temperature: Determined by viability
Refrigerated: Determined by viability
Frozen: Unacceptable

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Raw specimens • Isolate overgrown with bacteria • Yeast • Fungi

Methodology
Broth Microdilution

FDA Status
This test was performed using a kit that has not been cleared or approved by the FDA. The analytical performance characteristics of this test have been determined by Quest Diagnostics. This test should not be used for diagnosis without confirmation by other medically established means.

Setup Schedule

Set up: Sun-Fri; Report available: 14-21 days

Reference Range

See Laboratory Report

Clinical Significance

Mycobacterium avium and other slow-growing mycobacteria cause a variety of human infections. Antimicrobial susceptibility testing may be an aid for treatment options.

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.