Mycobacterium Slow Grower MIC [19775X]

Test Code
18429

CPT Codes
87186

Includes
Amikacin, Ciprofloxacin, Clarithromycin, Doxycycline, Ethambutol, Ethionamide, Isoniazid, Linezolid, Moxifloxacin, Rifampin, Rifabutin, Streptomycin, Trimethoprim/Sulfamethoxazole

Preferred Specimen
1 slant, plate, or broth
Pure culture of isolate safely contained in Lowenstein-Jensen, Middlebrook 7H10 agar slant/plate or equivalent, or positive AFB broth medium (requires subculture prior to testing)

Instructions
Identification of isolate is required.
Must be submitted in a double-walled container or in 95K bag under room temperature.

Transport Container
Double-walled safety container

Transport Temperature
Room temperature

Specimen Stability
Room temperature: Determined by viability
Refrigerated: Determined by viability
Frozen: Unacceptable

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Raw specimens • Isolates overgrown with bacteria • Yeast • Fungi

Methodology
Broth Microdilution

FDA Status
This test was performed using a kit that has not been cleared or approved by the FDA. The analytical performance characteristics of this test have been determined by Quest Diagnostics. This test should not be used for diagnosis without confirmation by other medically established means.

Setup Schedule
Set up: Sun-Fri; Report available: 15-22 days

Reference Range
See Laboratory Report

Clinical Significance
Mycobacterium avium and other slow-growing mycobacteria cause a variety of human infections. Antimicrobial susceptibility testing may be an aid for treatment options.

Performing Laboratory
Quest Diagnostics Infectious Disease, Inc.
33608 Ortega Highway, Bldg B-West Wing
San Juan Capistrano, 92675-2042



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.