Mycobacterium ID, TB/MAI Probes, Sensitivity on All

Test Code
900930

CPT Codes
87555, 87560

Includes
This test may reflex to the following tests:
Susceptibility Panel, Mycobacterium
Mycobacterium avium Complex, MIC Panel (performed at Quest Diagnostics Infectious Disease)
Mycobacteria Identification
Mycobacterium Slow Grower MIC (performed at Quest Diagnostics Infectious Disease)
Antimicrobial Susceptibiity, AFB, Rapid Grower, MIC (performed at Quest Diagnostics Infectious Disease)
Antimicrobial Susceptibility, Nocardia/Aerobic Actinomycetes (performed at Quest Diagnostics Infectious Disease)

TB and MAI probes will be performed on all isolates submitted (CPT code: 87149 per probe). If the probes are negative, identification by sequencing will be performed at an additional charge (CPT code: 87153).

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

If MAI is isolated, susceptibilities will be performed at an additional charge (CPT code: 87186).

If M. chelonae-abscessus complex or M. fortuitum is isolated, susceptibilities will be performed at an additional charge (CPT code: 87186).

If M. kansasii, M. marinum or M. gordonae is isolated, susceptibilities will be performed at an additional charge (CPT code: 87186).

Preferred Specimen
Pure culture on solid mycobacterial medium (e.g., Lowenstein-Jensen agar or Middlebrook slant)

Other Acceptable Specimens
Pure culture in liquid mycobacterial medium (e.g. Middlebrook 7H9 broth)

Transport Temperature
Room temperature

Specimen Stability
Room temperature: 7 days
Refrigerated: Not established
Frozen: Unacceptable

Methodology
DNA Probe • Sequencing

Setup Schedule
Set up: Mon, Wed, Fri; Report available: 50 days

Reference Range
See Laboratory Report

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.