Gram Stain Smear Routine

Message
Use this test when normal culture does not include a Gram stain. Gram stains are automatically included in the following routine cultures:  body fluid, bronchial washing, burn, sputum, tissue, and wound (aerobic).


Test Code
GRAM - MM MMC


CPT Codes
87205

Preferred Specimen
Specimen on swab or in sterile container.


Instructions
Specimen source is required for processing.
  • Collect as for specific bacterial culture.
  • Place specimen in a screw-capped sterile container, a swab transport system or slide prepared with material in a slide holder.
  • Label container (not the lid) or slide with two patient identifiers (full name, DOB or MR), specimen source, and date and time of collection.
  • Maintain sterility and forward promptly


Transport Temperature
See culture requirements


Specimen Stability
Specimen Type Temperature Time
Sterile Container Refrigerate 24 hours
Swab Ambient 48 hours


Methodology
Gram Stain

Setup Schedule
Monday through Sunday; Continuously


Report Available
Same day


Reference Range
Sterile body sites: no organisms observed.
Critical value (automatic call-back): STAT requests and any positive on spinal fluid or sterile body fluid.


Clinical Significance
The Gram stain is generally the first step performed in the identification of bacteria and often determines the subsequent
identification procedures.


Performing Laboratory
McKee Medical Center - Microbiology/Molecular Laboratory



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.