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Mycobacteria, Blood Culture [10526X]
Test Code4161
CPT Codes
87116
Includes
This test does not include a primary smear.
If culture is positive, identification will be performed at an additional charge for each organism:
CPT code(s) 87118: Matrix Assisted Laser Desorption/Ionization-Time of Flight or
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 other Mycobacteria species are isolated, appropriate susceptibilities can be performed at an additional charge if requested (CPT code(s): 87186 per organism).
If culture is positive, identification will be performed at an additional charge for each organism:
CPT code(s) 87118: Matrix Assisted Laser Desorption/Ionization-Time of Flight or
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 other Mycobacteria species are isolated, appropriate susceptibilities can be performed at an additional charge if requested (CPT code(s): 87186 per organism).
Preferred Specimen
5 mL whole blood collected in a BACTEC™ Myco F/Lytic aerobic blood bottle
Minimum Volume
1 mL
Other Acceptable Specimens
5 mL bone marrow collected in a BACTEC™ Myco F/Lytic aerobic blood bottle
Transport Temperature
Room temperature
Specimen Stability
Room temperature: 48 hours
Refrigerated: Unacceptable
Frozen: Unacceptable
Refrigerated: Unacceptable
Frozen: Unacceptable
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimens in EDTA (lavender-top) tube • Specimens in heparin (green-top) tube • Specimens in citrate, ACD or SPS (yellow-top) tubes • BACTEC™ Plus Aerobic/F bottle (silver label with gray-top) bottle • BACTEC™ Lytic/10 Anaerobic/F bottle (purple label and cap) bottle • BACTEC™ peds bottle
Methodology
Continuous Monitoring Blood Culture System
Setup Schedule
Set up: Daily; Report available: 6-8 weeks
Reference Range
See Laboratory Report
Clinical Significance
There are more than 70 species of mycobacteria of which the primary pathogen is M. tuberculosis. Tuberculosis is a chronic, granulomatous disease caused by M. tuberculosis. Identification, and, if appropriate, antibiotic sensitivity, is required to initiate necessary therapy.
