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CULTURE, WOUND SUPERFICIAL
MessageA superficial wound culture should be ordered for those wounds that are on or near the surface of the skin. The superficial wound culture will evaluate the growth of aerobic bacteria only.
Test Code
WMDCS
Alias/See Also
Wound culture
CPT Codes
87205, 87070
Includes
87070 Culture, bacterial; any other source except urine, blood, or stool; aerobic with isolation and presumptive identification of isolates
87205 Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types
The following testing may be added, if appropriate, based on findings for organism identification and to aid in patient treatment management. Please note: multiple additions are possible if more than one organism is identified
87076 Anaerobic isolate, additional methods required for definitive identification of isolates
87077 Aerobic isolate, additional methods required for definitive identification, each isolate (if appropriate)
87106 Culture, fungi, definitive identification, each organism, yeast (if appropriate)
87107 Culture, mold, definitive identification, each organism, mold (if appropriate)
87206 Smear, primary source with interpretation, fluorescent and/or acid fast stain for bacteria, fungi, or cell types (if appropriate)
87184 Susceptibility studies, disk method, per plate (if appropriate)
87185 Enzyme detection (e.g., beta lactamase) per enzyme (if appropriate)
87186 Susceptibility studies, microdilution or agar dilution, each multi-antimicrobial, per plate (if appropriate)
87205 Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types
The following testing may be added, if appropriate, based on findings for organism identification and to aid in patient treatment management. Please note: multiple additions are possible if more than one organism is identified
87076 Anaerobic isolate, additional methods required for definitive identification of isolates
87077 Aerobic isolate, additional methods required for definitive identification, each isolate (if appropriate)
87106 Culture, fungi, definitive identification, each organism, yeast (if appropriate)
87107 Culture, mold, definitive identification, each organism, mold (if appropriate)
87206 Smear, primary source with interpretation, fluorescent and/or acid fast stain for bacteria, fungi, or cell types (if appropriate)
87184 Susceptibility studies, disk method, per plate (if appropriate)
87185 Enzyme detection (e.g., beta lactamase) per enzyme (if appropriate)
87186 Susceptibility studies, microdilution or agar dilution, each multi-antimicrobial, per plate (if appropriate)
Preferred Specimen
e-Swab collection kit
Document source
Document source
Patient Preparation
Collect specimen prior to start of antibiotic therapy.
1. Disinfect skin surface with 70% alcohol. Allow to dry.
2. Aspirate specimen directly into the syringe. Remove air from the syringe.
3. Aseptically transfer material into eSwab - do not exceed 1mL of fluid.
Minimum Volume
Any
Transport Temperature
Room temperature. Do NOT refrigerate
Specimen Stability
Room temperature up to 2 days
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
- Improperly labeled specimen
- Specimens with prolonged transit time
- Specimen not submitted in appropriate transport container
- Insufficient volume
- External contamination
Setup Schedule
DAILY
Culture will be examnied each day for 4 days.
Culture will be examnied each day for 4 days.
Report Available
Final report available within 4 days of set up
Reference Range
No growth
Critical/alert values:
- Gram-negative rods identified as ESBL or Carbapenemase producers
- MRSA isolated on an inpatient
- Any culture positive for potential agents of Bioterrorism: Bacillus anthracis, Brucella, Burkolderia mallei/pseudomallei, Franciscella tularensis, or Yersinia pestis
Clinical Significance
Any specimen submitted for microbial culture can be contaminated with colonizing organisms that are not contributing to disease. Organisms most likely to contaminate specimens of this type include, but are not limited to, Corynebacterium species and coagulase-negative staphlococci. However, these organisms may be pathogenic in certain settings.
Slow growing Mycobacterium species or Nocardia species that may cause abscesses will not be recovered in routine bacterial cultures even if present since extended incubation periods or special media are necessary for their isolation. Cultures for these organisms should be specifically requested.
Slow growing Mycobacterium species or Nocardia species that may cause abscesses will not be recovered in routine bacterial cultures even if present since extended incubation periods or special media are necessary for their isolation. Cultures for these organisms should be specifically requested.
Performing Laboratory
Alverno Central Lab
