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Respiratory Culture : 1000802
Test CodeRESC or 1000802
CPT Codes
87070, 87205
Includes
Includes Gram Stain. Bronchial brushes and BAL [bronchoalveolar lavage] are reported quantitatively.
Instructions
Submit respiratory specimens (expectorated
sputum, induced sputum, tracheal aspirate, bronchial washings & brush, BAL):
Washings and Aspirates:
Submit in sterile container inside a ziplock bag.
Sputum:
1. The specimen must be collected under the supervision of a nurse or physician to ensure that proper collection procedures are followed.
2. Have the patient rinse their mouth with some fresh drinking water and swallow the water.
3. Instruct the patient to cough deeply to bring up sputum from the lungs. (Be sure to tell the patient you do not want post nasal discharge).
4. Expectorate the sputum into a sterile, leak-proof container. (The amount of the sputum is not as critical as its quality. If the patient cannot produce sputum, try again later. Do not insist on a specimen. That will usually only produce a sample of saliva
or post nasal discharge.)
5. Patients older than 5 years who cannot follow these instructions should have specimens collected by suction (respiratory therapist). Do not substitute a throat swab.
sputum, induced sputum, tracheal aspirate, bronchial washings & brush, BAL):
Washings and Aspirates:
Submit in sterile container inside a ziplock bag.
Sputum:
1. The specimen must be collected under the supervision of a nurse or physician to ensure that proper collection procedures are followed.
2. Have the patient rinse their mouth with some fresh drinking water and swallow the water.
3. Instruct the patient to cough deeply to bring up sputum from the lungs. (Be sure to tell the patient you do not want post nasal discharge).
4. Expectorate the sputum into a sterile, leak-proof container. (The amount of the sputum is not as critical as its quality. If the patient cannot produce sputum, try again later. Do not insist on a specimen. That will usually only produce a sample of saliva
or post nasal discharge.)
5. Patients older than 5 years who cannot follow these instructions should have specimens collected by suction (respiratory therapist). Do not substitute a throat swab.
Transport Container
Submit respiratory specimens in a sterile screw capped container.
Transport Temperature
Refrigerated.
Specimen Stability
Transport as quickly as possible.
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
For Sputum Respiratory culture: If the gram stain evaluation for sputum quality is not acceptable, the culture will not be performed. The specimen will be saved for 3 days. Client Services will alert the ordering client for re-collection.
Methodology
Gram Stain and Aerobic culture for significant or predominating pathogens
Setup Schedule
Sunday - Saturday
Report Available
2 days
Reference Range
Normal Respiratory Flora
Performing Laboratory
med fusion
