| A B C D E F G H I J K L M N O P Q R S T U V W X Y Z # |
MYCOBACTERIAL SMEAR
Test CodeAFBSMR
CPT Codes
87015, 87206
Minimum Volume
See Transport Container for information
Instructions
"Bronchial Washing, Gastric Washing, or Tracheal Aspirate
1. Collect specimen in a 20-mL Luki sterile aspirating tube.
2. Maintain sterility and forward promptly.
Note: 1. Specimen source is required on request form for processing.
2. One specimen/day/site.
Fluid (Joint, Pericardial, Pleural, or Spinal Fluid)
1. Collect 2 mL of fluid into a sterile collection tube.
2. Maintain sterility and forward promptly.
Note: 1. Specimen source is required on request form for processing.
2. One specimen/day/site.
Sputum
1. Collect specimen in a screw-capped, sterile container.
2. Preferred specimen is a single, first-morning, ""deep cough"" sputum specimen. The patient should not have eaten prior to collection. When antibiotics are to be started immediately, a first-morning specimen is still preferred.
3. Three specimens should be collected over an 8 to 24 hour period and this should include at least 1 first morning specimen.
4. Instruct patient to brush his/her teeth and/or rinse mouth well with water to remove any indigenous flora from the mouth area.
5. Have patient remove dentures.
6. Instruct patient to take a deep breath, hold it momentarily, and cough deeply and vigorously into container. Close lid securely.
7. Maintain sterility and forward promptly. If transport is delayed> 1 hour, send specimen refrigerated.
Note: 1. Cough induction by inhalation of a saline aerosol may be used if required.
2. Specimen source is required on request form for processing.
3. Up to 5 sputum specimens/admission will be accepted.
Tissue
1. Collect tissue specimen in a screw-capped, sterile container.
2. Maintain sterility and forward promptly.
Note: 1. Specimen source is required on request form for processing.
2. One specimen/day/site.
Urine (Midstream Clean-Catch)
1. First-morning specimen is preferred.
2. Instruct patient to thoroughly cleanse skin.
3. Collect entire urine specimen in a screw-capped sterile container. (Timed urine specimen is not acceptable.)
4. Maintain sterility and forward promptly.
Note: 1. Follow instructions in ""Midstream Clean-Catch Urine Collection"" in ""Urine Collection"" in ""Special Instructions.""
2. Specimen source is required on request form for processing.
3. One specimen/day/site."
1. Collect specimen in a 20-mL Luki sterile aspirating tube.
2. Maintain sterility and forward promptly.
Note: 1. Specimen source is required on request form for processing.
2. One specimen/day/site.
Fluid (Joint, Pericardial, Pleural, or Spinal Fluid)
1. Collect 2 mL of fluid into a sterile collection tube.
2. Maintain sterility and forward promptly.
Note: 1. Specimen source is required on request form for processing.
2. One specimen/day/site.
Sputum
1. Collect specimen in a screw-capped, sterile container.
2. Preferred specimen is a single, first-morning, ""deep cough"" sputum specimen. The patient should not have eaten prior to collection. When antibiotics are to be started immediately, a first-morning specimen is still preferred.
3. Three specimens should be collected over an 8 to 24 hour period and this should include at least 1 first morning specimen.
4. Instruct patient to brush his/her teeth and/or rinse mouth well with water to remove any indigenous flora from the mouth area.
5. Have patient remove dentures.
6. Instruct patient to take a deep breath, hold it momentarily, and cough deeply and vigorously into container. Close lid securely.
7. Maintain sterility and forward promptly. If transport is delayed> 1 hour, send specimen refrigerated.
Note: 1. Cough induction by inhalation of a saline aerosol may be used if required.
2. Specimen source is required on request form for processing.
3. Up to 5 sputum specimens/admission will be accepted.
Tissue
1. Collect tissue specimen in a screw-capped, sterile container.
2. Maintain sterility and forward promptly.
Note: 1. Specimen source is required on request form for processing.
2. One specimen/day/site.
Urine (Midstream Clean-Catch)
1. First-morning specimen is preferred.
2. Instruct patient to thoroughly cleanse skin.
3. Collect entire urine specimen in a screw-capped sterile container. (Timed urine specimen is not acceptable.)
4. Maintain sterility and forward promptly.
Note: 1. Follow instructions in ""Midstream Clean-Catch Urine Collection"" in ""Urine Collection"" in ""Special Instructions.""
2. Specimen source is required on request form for processing.
3. One specimen/day/site."
Transport Container
"1 STERILE CONTAINER
"
"
Reference Range
No acid fast bacilli observed
