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Mycobacterium tuberculosis Complex, Rifampin Resistance, Culture/PCR,Sputum
Test Code94578
CPT Codes
87801, 87116, 87206
Includes
For Mycobacteria culture, an additional charge for Concentration (CPT code(s): 87015) will be added as appropriate.
Identification will be performed at an additional charge for each organism:
CPT code(s) 87118: Matrix Assisted Laser Desorption/Ionization-Time of Flight or
CPT code(s) 87153: AFB Sequencing
If TB is isolated for the first time or after three months after the first isolate from a patient, susceptibilities will be performed at an additional charge (CPT code(s): 87190 per drug.
Identification will be performed at an additional charge for each organism:
CPT code(s) 87118: Matrix Assisted Laser Desorption/Ionization-Time of Flight or
CPT code(s) 87153: AFB Sequencing
If TB is isolated for the first time or after three months after the first isolate from a patient, susceptibilities will be performed at an additional charge (CPT code(s): 87190 per drug.
Preferred Specimen
10 mL sputum collected in a sterile leak-proof container
Minimum Volume
2 mL
Instructions
Expectorated sputum: Instruct patient to gargle with water and cough deeply
Transport Temperature
Refrigerated (cold packs)
Specimen Stability
Room temperature: Unacceptable
Refrigerated: 5 days
Frozen: Unacceptable
Refrigerated: 5 days
Frozen: Unacceptable
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimen received in formalin and/or alcohol • 24 hour pooled sputum • Samples with obvious food particles or other solid particulate • Processed/concentrated sputum specimen from client
Methodology
Real-Time Polymerase Chain Reaction • Continuous Monitoring Broth Culture System and Conventional Culture • Microscopic Exam with Fluorochrome Stain
Setup Schedule
Sets up 6 days a week.
Clinical Significance
Tuberculosis caused by Mycobacterium (M.) tuberculosis (TB) complex organisms remains a major global and public health problem with tuberculosis being cited as the leading cause of death due to a single infectious agent.