Anaerobic Cx

Test Code
LAB233 1230100140


Alias/See Also
ANAEROB CX
ANAEROBE


CPT Codes
87075

Includes
CULTURE


Instructions
Acceptable Specimens:
Abscess, Aspirate, Fluids, Tissue, Lower Respiratory, Urine specimens: Sterile Screw-capped Container.

Bone Marrow: Sterile Vacutainer

Swab specimens (Wound, Genital, Ear, Eye)
• eSwab (preferred)
• Port-A-Cult Anaerobic Transport Swab
• Culturette swab, Liquid Aimes Gel
Submit only 1 of the following specimens:

Abscess or Aspirate
1. Disinfect surface contamination.
2. Obtain specimen from abscess wall or deep wound by surgical means.
3. Place specimen in a screw-capped, sterile container.
4. Label container with patient's name (first and last), Medical Record number or date of birth, date and time of collection, collector's initials or associate number, and type of specimen. This information may be documented in the HIS.
5. Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.

Body Fluid
1. Aseptically collect 0.5 mL to 1 mL of body fluid per test requested in a screw-capped, sterile container or syringe (remove needle prior to transport). (Acid-Fast Bacilli studies require =5 mL for optimal testing.)
2. Label container with patient's name (first and last), Medical Record number or date of birth, date and time of collection, collector's initials or associate number, and type of specimen. This information may be documented in the HIS.
3. Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.

Bone Marrow
Specimen will be collected by physician assisted by a cytotechnologist or histotechnologist.
1. 2 mL to 3 mL of bone marrow in a screw-capped, sterile VACUTAINER®.
2. Place specimen in a screw-capped, sterile container.
3. Label container with patient's name (first and last), Medical Record number or date of birth, date and time of collection, collector's initials or associate number, and type of specimen. This information may be documented in the HIS.
4. Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.

Genital
Bartholin cyst
1. Disinfect skin prior to collection.
2. Aspirate fluid material using sterile syringe.
3. Label container with patient's name (first and last), Medical Record number or date of birth, date and time of collection, collector's initials or associate number, and type of specimen. This information may be documented in the HIS.
4. Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.

Endometrium
1. Obtain transcervical aspirate via telescoping catheter or surgical biopsy.
2. Label container with patient's name (first and last), Medical Record number or date of birth, date and time of collection, collector's initials or associate number, and type of specimen. This information may be documented in the HIS.
3. Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.

Intrauterine Device
1. Submit intrauterine device, associated secretions, and pus in a screw-capped, sterile container.
2. Label container with patient's name (first and last), Medical Record number or date of birth, date and time of collection, collector's initials or associate number, and type of specimen. This information may be documented in the HIS.
3. Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.

Products of Conception
1. Submit tissue in screw-capped, sterile container.
2. Label container with patient's name (first and last), Medical Record number or date of birth, date and time of collection, collector's initials or associate number, and type of specimen. This information may be documented in the HIS.
3. Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.

Spinal Fluid
1. Collect 0.5 mL to 1 mL of spinal fluid using aseptic technique.
2. Place specimen in a screw-capped, sterile tube(s). (Acid-Fast Bacilli studies require =2 mL for optimum testing.)
3. Numbered tubes may be submitted to multiple departments (Chemistry, Hematology, and Microbiology).
4. Indicate tube number on request form for microbiology studies.
5. Label container with patient's name (first and last), Medical Record number or date of birth, date and time of collection, collector's initials or associate number, and type of specimen. This information may be documented in the HIS.
6. Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.

Tissue
1. Fresh tissue without fixative in a screw-capped, sterile container.
2. A moistened gauze pad of saline may be added to specimen to ensure specimen preservation.
3. Label container with patient's name (first and last), Medical Record number or date of birth, date and time of collection, collector's initials or associate number, and type of specimen. This information may be documented in the HIS.
4. Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.

Urine
1. Label container with patient's name (first and last), Medical Record number or date of birth, date and time of collection, collector's initials or associate number, and type of specimen. This information may be documented in the HIS.
2. Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.
3. Forward non-preserved specimen to laboratory within 1 hour of collection at ambient temperature. If there is a delay in transport of >1 hour from collection, send specimen refrigerated. Urine transport kits (preserved specimen) can be forwarded at ambient temperature.
4. A first-morning urine specimen provides best yield for culture evaluation. Urine specimen for culture may not be as optimal (more dilute) if collected at other times.

Wound/Swab
Acceptable specimens
1. Cleanse wound margins with 70% alcohol.
2. Remove overlying debris.
3. Obtain specimen from abscess wall from deep wound or abscess material by surgical means.
4. Use acceptable swab to sample infected area. Do not touch surrounding area that may be contaminated with microorganisms.
5. Return swab to tube to ensure specimen preservation.
6. Label container with patient's name (first and last), Medical Record number or date of birth, date and time of collection, collector's initials or associate number, and type of specimen. This information may be documented in the HIS.
7. Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.


Transport Container
STERILE CONTAINER


Specimen Stability
Shipping/Handling Instructions: Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.

Performing Locations: MWH LAB (540-741-1100): MWH MICROBIOLOGY


Performing Laboratory
MWH LAB



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.