Acid Fast Culture

Test Code
TB


CPT Codes
87015; 87116

Preferred Specimen

Any source except blood, CSF or bone marrow (see TBO procedure)



Minimum Volume
Respiratory or sterile body fluids, 5 mls


Instructions

Collect specimens in sterile collection container. Collect sputum specimens first morning expectorant. Volumes below minimum greatly increase false negative results. Only 1 specimen per day of collection will be accepted. Have patient rinse mouth and gargle with sterile water or saline prior to sputum collection. Collect specimen resulting from deep cough in a sterile container. If Legionella testing will be included in the tests requested do not use saline as it is inhibitory to Legionella organisms.



Transport Container

Sterile Container



Transport Temperature
RT 2 h then 2-8 C


Specimen Stability
2-8C 24 h


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Improperly labelled; Improper storage/transport


Methodology
Culture; decontamination and concentration as needed.

Setup Schedule
Daily


Report Available
42 days


Reference Range
No Mycobacteria Isolated


Clinical Significance

Isolation and identification of Mycobacteria is important for the management and treatment of tuberculosis and other Mycobacterial infections. 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. tuberclosis. Identification and antibiotic sensitivity is required to initiate necessary therapy.





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.