Cystic Fibrosis Respiratory Culture

Message
This test is for patients diagnosed with Cystic Fibrosis only, all other patient populations order Lower Respiratory culture. 
 
Isolation of potential respiratory pathogens can be useful in the diagnosis of respiratory tract infection. This specimen may contain normal oral flora. The significance of any isolate must be evaluated with this in mind.
 
 Note: All bacterial isolates worked up, to rule in or out as a pathogen, will be billed for work performed and resources consumed. 
 
Note: When this test is ordered, the reflex tests such as susceptibilities as appropriate, may be performed at an additional charge. 
 
Note: Screening of sputa for specimen quality based on Gram stain evaluation is not appropriate since limited organisms are associated with CF lung disease and their presence on culture is considered clinically significant regardless of Gram stain findings 
 
Note: If source is documented as Sputum without either expectorated or induced, specimen will be treated as an Expectorated sputum. 
 
Note: Ordering Guidance - if Mycobacterial (AFB) organism is suspected, order Mycobacterial Culture; If yeast or mold is suspected, order Fungal Culture. 
 
Note: If additional tests are also requested send as much specimen as possible and order appropriate additional tests


Test Code
LAB5028 1230105028


Alias/See Also
CF CULTURE


CPT Codes
87070

Includes
CULTURE
GRAM STAIN RESULT


Preferred Specimen
Sputum


Patient Preparation
Patient collects first morning sputum in sterile container.
Expectorated Sputum (first morning specimen is optimal), Induced Sputum, tracheal aspirate, bronchial alveolar lavage, bronchial washing, bronchial brushing, transtracheal aspirate, or endotracheal aspirate. 



 

Other Acceptable Specimens
Sputum
Washing
Aspirate


Instructions
Patient collects first morning sputum in sterile container.


Transport Container
STERILE CONTAINER


Transport Temperature
Room Temperature


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.