Spinal Fluid Culture

Message
NOTE: All CSF specimens are considered STAT.
This order is for routine culture of CSF or Shunt Fluid.
For AFB in CSF refer to C AFB
For Fungus in CSF refer to C F
For Acanthamoeba in CSF refer to C ACANTH
 


Test Code
C SF


Alias/See Also
Lumbar spinal culture
Spinal shunt (ventricular) culture


Preferred Specimen
Specify fluid and collection:
  • Spinal fluid, lumbar
  • Shunt fluid, ventricular

1-5 ml CSF in sterile, screw-capped container
NOTE: As for all fluids, additional material should be submitted if mycobacterial (AFB) and/or fungal cultures are required.
For multiple tests, add approximately 1-2 ml per test desired


Minimum Volume
0.5 mL


Transport Container
Sterile, screw-capped container


Transport Temperature
Ambient / Room temperature


Specimen Stability
Room temperature: 2 hours. DO NOT refrigerate prior to routine bacterial culture.
Room temperature: 24 hours


Report Available
The Gram stain is reported STAT
A preliminary culture report will be available <24 hours. 
A final negative culture report will be generated <4 days.
All positive cultures will be reported immediately.


Reference Range
No growth


Clinical Significance
Cerebrospinal fluid cultures are of importance in the diagnosis of bacterial meningitis, an inflammation of the meninges. Causative bacteria vary depending on  the patient's age, vaccination status, and recent trauma or instrumentation

Age Group:
0-1 mo (neonates): GBS (Strep. agalactiae), Escherichia coli, Listeria monocytogenes
1 mo - 2 yr: GBS, E.coli, L. monocytogenes, Strep. pneumoniae, Neisseria meningitidis, Haemophilus influenzae
2 -50 yr: Strep. pneumoniae, N. meningitdis
>50 yr: S. pneumoniae, N. meningitidis, L. monocytogenes

Basilar skull fracture or cochlear implant: S. pneumoniae, H. influenzae
Penetrating trauma or neurosurgery: Staphylococcus aureus
Shunt: S. aureus, Pseudomonas aeruginosa, Cutibacterium acne




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.