Stool Culture : 1000873

Test Code
STLC or 1000873

Alias/See Also
Aerobic Bacteria Culture, Stoo; Aeromonas; Campylobacter; Culture, Aerobic Bateria, Stool; E. coli O157:H7; Pathogen-Culture Stool; Pathogens, Aerobic Bacteria Culture, Stool; Salmonella; Shigella; Stool Culture; Vibrio; Yersinia

CPT Codes
87045, 87046, 87427

Includes
Includes salmonella, shigella, campylobacter, and shigatoxin.

Instructions
One specimen per day per patient will be accepted.
Multiple (up to three) specimens collected on separate days will increase the probability of isolating the etiologic agent, particularly in patients with persistent (>2 weeks) diarrhea.

Feces:
1. Collect a stool specimen in a bedpan or waxed container (do not contaminate with urine).
2. Examine the specimen for mucus or blood and sample these areas if present.
3. Unscrew the cap of the Cary Blair transport vial and add approximately 1 gram of fecal material.
4. Securely refasten the cap and vigorously shake the vial to mix stool with transport medium.

Anal swabs:
1. Insert the swab into the rectum (through the anal sphincter) and rotate gently.
2. Remove the swab and place into transport medium.

Transport Container
See specimen collection information. Submit 1 gram stool in Cary Blair transport vial or anal swab (aerobic/anaerobic transport container). Call laboratory to confirm other containers.

Alternate container: Samples too small to allow sufficient material to be placed into the appropriate transport container may be submitted refrigerated in a sterile screw capped container. However, strong consideration should be given to collection of another sample. Small samples are subject to rejection.

Transport Temperature
Cary Blair transport vial or aerobic/anaerobic container: Ambient unless recovery of Shigella is required then transport refrigerated; Alternate container: Refrigerated.

Specimen Stability
Transport as quickly as possible.

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Multiple same day collections are unacceptable. (see collection information.)


Methodology
Routinely examined for Salmonella, Shigella, Campylobacter, E coli O157:H7 and Shiga toxin. Screened for Aeromonas & Vibrios [w/o selective media]

Setup Schedule
Sunday - Saturday

Report Available
3 days

Reference Range
Negative for Salmonella, Shigella, Campylobacter, E. coli O157:H7

Performing Laboratory
med fusion



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.