Mycobacteria PCR, Culture and Smear, Non-Respiratory

Test Code

CPT Codes
87116, 87206, 87556

Mycobacteria, Culture, with Fluorochrome Smear
Mycobacterium tuberculosis Complex, PCR, Non-Respiratory

An additional bill only charge for Concentration (CPT code(s): 87015) will be added as appropriate.

Identification will be performed at an additional charge for each organism
CPT code(s) 87149: M. tuberculosis Complex Probe or
CPT code(s) 87149: M. avium Complex Probe or
CPT code(s) 87149: M. kansasii Probe or
CPT code(s) 87149: M. gordonae Probe

If the organism cannot be identified by the original method additional bill only charges may be added
CPT code(s) 87118: Matrix Assisted Laser Desorption/Ionization-Time of Flight (1, 2 & 3) or
CPT code(s) 87153: AFB Sequencing (1, 2 & 3)

If TB is isolated for the first time or after three months after the first isolate from a patient, susceptibilities will be performed at an additional charge (CPT code(s) 87190 per drug).

Preferred Specimen
Please see the individual assays for specimen requirements, and stabilities.

Polymerase Chain Reaction (PCR)

Setup Schedule
Set up: Mon-Sat a.m; Report available: 49 days

Reference Range
See Laboratory Report

Clinical Significance
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. tuberculosis. Identification, and, if appropriate, antibiotic sensitivity, is required to initiate necessary therapy.

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