Stool Pathogens Expanded, PCR

Message
Studies have shown that the efficacy of recovering enteric pathogens in stool specimens from hospitalized patients 3 days after admission is extremely low. Thus the standard of practice is to reject those specimens. If this is an exceptional case please contact the Microbiology Department 970-820-4156. 


Test Code
STPCR EXPA - MM MMC


CPT Codes
87505, 87186 - MIC, per organism (if appropriate)

Includes
Vibrio Group (composed of V. cholerae and V. parahaemolyticus)
Yersinia enterocolitica
Norovirus GI/GII
Rotavirus A
Indicate on request form if isolation of other enteric pathogens is desired.


Preferred Specimen
Stool in Cary-Blair Vial - fill to line with stool.
 Microbiology Specimen Collection Guide  


Minimum Volume
Fresh Stool: 2 mL
Cary-Blair preserved specimen: fill to line


Other Acceptable Specimens
Fresh Stool (unpreserved)


Instructions

A copy of the Stool Collection Patient Instructions (located under laboratory information) should be given to the outpatient or as follows:

  • Submit fresh stool in a Para-PakTM culture and sensitivity preservative vial supplied.
  • Add stool to the “fill to here” line on the vial.
  • Carefully break up specimen using spoon.
  • Tighten cap, and shake firmly to ensure that the specimen is adequately mixed. When mixing is complete, solution should appear homogeneous.
  • Send specimen refrigerated.
  • Label container (not the lid) with two patient identifiers (full name, DOB or MR) and date and time of collection.
  • Forward promptly.


Specimen Stability
Specimen Type Temperature Time
Fresh Stool Refrigerate 2 hours
Stool in Para-PakTM  Vial Refrigerate 5 days


Methodology
Polymerase Chain Reaction (PCR) Multiplex Verigene Enteric Pathogens Nucleic Acid Test

Setup Schedule
Monday through Sunday, Continuously


Reference Range
Vibrio: negative
Yersinia: negative
Norovirus: negative
Rotavirus: negative
Critical value (automatic call-back): positive result for any enteric pathogen
 


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.