AFB CULTURE WITH STAIN (MYCOBACTERIUM CULTURE)

Test Code
LAB304905


CPT Codes
87116, 87206, 87015

Preferred Specimen
Respiratory, tissue, fluid or aspirate samples in sterile leak-proof container.  Swab acceptable (non-OR locations) if dedicated for AFB culture.


Minimum Volume
1mL Respiratory,1mL Fluids, no minimum requirement for Tissue. Swabs: Suboptimal.
Not accepted for OR locations (please collect fluid or tissue). For sites not amenable to biopsy or aspiration, a single dedicated swab may be submitted. (i.e. multiple cultures are NOT performed on a single swab).


Instructions
Do not send specimens with attached tubing
1. Collect 3 first-morning sputum specimens for culture and smear for patients with clinical findings compatible with tuberculosis ( 3
separate days).
2. Transport specimens to the Micro lab immediately, ideally within 30 minutes of collection.
3. Specimens submitted on swabs (non-OR locations) must be designated for AFB culture. (i.e., multiple cultures are NOT
performed on a single swab)
4. AFB Recovery from E-Swabs has not been validated by WVUH Microbiology Lab.

Note: For AFB Blood Cultures, please see AFFB (Adult) or PFFB (Pediatric)


Transport Temperature
Refrigerated


Specimen Stability
Refrigerated: 48 hours


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Intra-operative specimen submitted on swab. Twenty-four hour specimens are not acceptable for culture. Stool cultures for AFB will only be performed on HIV positive patients. Urine in a grey top tube.


Methodology
Culture

Setup Schedule
Sunday-Saturday


Reference Range
No acid fast bacilli seen on direct smear. No growth in 6
weeks.


Performing Laboratory
West Virginia University Hospital, Inc.
Camden Clark Medical Center




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.