Vibrio Culture

Test Code

LAB1289 1230110299

Alias/See Also

VIBRIO
CULTURE

CPT Codes
87046

Includes

CULTURE

Preferred Specimen

Stool

Collection of stool specimens should be during the acute or diarrheal stage of intestinal infection. Patient should pass stool in sterile pan, without urine or toilet paper touching the specimen. Toilet paper may contain barium salts, which are inhibitors to some fecal pathogens.

 Sterile Container - Specimens not in Para-Pak/Cary-Blair transport medium must be placed in a sterile collection container, refrigerated, and sent to the Laboratory immediately.

 Para-Pak/Cary-Blair: Random stool specimen, place in a container with Para-Pak/Cary-Blair transport medium – fill up to the line on the vial. The fecal sample must be placed in appropriate preservative within 2 hours of collection.

Rectal swab: Only acceptable for pediatric patients. Sterile swab should be inserted about 1 inch past the anal sphincter to collect the specimen.

Preferred/Acceptable Source

Stool

Stool, liquid

Stool, soft

Stool, formed

Acceptable Containers:

-Fresh stool in sterile screw-top container

-Fresh stool in Para-Pak C&S

-Fresh stool in Cary Blair

Instructions

Specimen source is required on request form for processing.

Acceptable Specimens:

Colostomy (duodenal or ileostomy contents), rectal swab, or stool

Submit only 1 of the following specimens:

Colostomy (Duodenal or Ileostomy Contents)/ Stool/ Rectal Swab

1. Collect specimen prior to administration of anti-diarrheal medications, contrast media for radiological studies, or antibiotics.

2. One g of fresh stool collected on a swab or in a screw-capped, sterile container or modified Cary-Blair transport medium (transport medium not acceptable for Clostridium difficile toxin studies).

3. Label container with patient’s name (first and last), Social Security number or date of birth (inpatients: medical record number), date and time of collection, collector’s initials, and type of specimen.

4. Forward promptly at ambient temperature only. Do not refrigerate.

Note:

1. Do not perform culture on patients that develop diarrhea after being hospitalized >3 days.

2. The following specimens are unacceptable:

A. Specimen from bedpan

B. Specimen contaminated with toilet paper

C. Specimen contaminated with urine

Transport Container

CARY-BLAIR MEDIA

Transport Temperature

Room Temperature

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Unacceptable Source

Source other than stool

Unacceptable collection

 Specimen received in non-sterile container or unapproved container

 Specimens that have been preserved in 10% formalin, Merthiolate Formalin, Sodium Acetate Formalin, Polyvinyl Alcohol, or other fixatives cannot be used.

 Stool containing barium.

 Stool specimen contaminated with urine.

 Stool specimen contaminated with toilet paper.

 Stool specimen from a bedpan.

 Leaking specimen.

 Unlabeled or Mislabeled specimen.

 Specimen received outside stability time frame.

 Improper/incomplete identification (no patient name, MR# or DOB, or without patient label) on specimen.

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.