Salmonella and Shigella, Culture [10019X]

Test Code
664

CPT Codes
87045

Includes

If culture is "Isolated", identification will be performed at an additional charge (CPT code(s): 87077and/or 87147 or 87140 or 87143 or 87149). 
Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or  87184 or  87185 or  87186).



Preferred Specimen
1 g or 1 mL stool collected in Cary-Blair stool culture transport medium

Other Acceptable Specimens
Rectal swab in Amies or Cary-Blair stool culture transport medium

Instructions
Collect in clean, dry container and then transfer a minimum of 1 gram or 1 mL into a Cary-Blair stool culture transport medium. Fluid level should reach line on vial.

Transport Temperature
Room temperature

Specimen Stability

Stool or swab in Cary-Blair
Room temperature: 4 days
Refrigerated: 4 days
Frozen: Unacceptable
Swab in Amies
Room temperature: 48 hours
Refrigerated: 48 hours
Frozen: Unacceptable



Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Upreserved at any temperature • Frozen specimens in Cary-Blair stool culture transport • Expired transport medium • Specimen in diaper • Parasitology transport vial

Methodology

Bacterial Culture • Aerobic isolation and identification procedures



Setup Schedule
Set up: Daily; Report available: 3-6 days

Limitations
Diarrhea may be caused by a wide variety of organisms and other factors.

Reference Range
Not isolated

Clinical Significance
Salmonella and shigella represent two of the most common bacterial causes of diarrhea. If other common causes of diarrhea are suspected, they must be ordered individually. For many patients, the cause of gastrointestinal infection is not identified.

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.