Aeromonas and Plesiomonas Culture [17460X]

Test Code
527

CPT Codes
87046

Includes
If culture is positive, an identification will be performed at an additional charge (CPT code (s): 87077 or 87140 or 87147 or 87149).
Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181, 87184, 87185, 87186).

Preferred Specimen
5 grams stool submitted in a Cary-Blair stool culture transport medium

Minimum Volume
1 gram

Transport Temperature
Room temperature

Specimen Stability
Room temperature: 4 days
Refrigerated: Unacceptable
Frozen: Unacceptable

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Received refrigerated • Received frozen

Methodology
Culture (C)

Setup Schedule
Set up: Daily; Report available: 3 days

Reference Range
Not isolated

Clinical Significance
Infection with Aeromonas spp. can result in a mild, self-limiting diarrheal disease as well as a spectrum of intestinal diseases ranging from acute dysentery to chronic watery diarrhea persisting for weeks or months. Aeromonas spp. can cause acute diarrhea in children and traveler's diarrhea in adults. Sources of infection are commonly found to include exposure to freshwater sources or many cold- and warm-blooded vertebrates.

Plesiomonas shigelloides is a significant cause of both locally acquired and traveler's diarrhea that may respond to antimicrobial therapy. Infection with P. shigelloides can result in gastrointestinal disturbances, typically presenting as either a secretory diarrhea or colitis-like infection. Plesiomonads commonly are found in freshwater sources and colonizing or infecting reptiles and cold-blooded vertebrate such as lizards, snakes, and frogs.

Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153



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.