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PRE-SURGICAL STAPH AUREUS SCREEN by PCR

Test Code
SASCR


CPT Codes
87640; 87641

Preferred Specimen
Liquid Stuart swab 
BBL™ CultureSwab™ Liquid Stuart single or double swab
Copan (Venturi) Transystem™ Liquid Stuart single or double swab


Other Acceptable Specimens
eSwab, BBL CultureSwab Liquid Amies single or double swab, Copan (Venturi) Transystem Liquid Amies single or double swab, Eswab Copan Liquid Amies Collection and Transport System (white cap)


Transport Temperature
Refrigerate


Specimen Stability
  • 15-25°C up to 48 hours
  • 2-8°C up to 5 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
The following conditions will result in a rejected sample:
  • Sample collected in M4
  • Smaller e-Swab sizes (green or blue cap)
  • Dry swab
  • Source other than nasal
  • Frozen


Methodology
Polymerase Chain Reaction (PCR)

Setup Schedule
M, T, W, Th, F, Sa, Sun


Report Available
Report available M-Sa within 8 hours of receipt.


Report available on Sun or holidays within 12 hours of receipt.



Reference Range
Not detected


Clinical Significance
Pre-operative screening for Methicillin Sensitive Staphlococcus aureus (MSSA) or Methicillin-Resistant Staphlococcus aureus (MRSA) colonization as an infection control measure.

Staph aureus is one of the leading causes of surgical site infection. The Centers for Disease Control and Prevention estimates that it accounts for 14% to 16% of all nosocomial infections. Nasal colonization with either S. aureus or MRSA has been demonstrated to be an important independent risk factor associated with increasing incidence and severity of surgical site infections after orthopedic surgery. Pre-surgical screening and subsequent decolonization of Methylicillin Sensitive or Methylicillin Resistant Staph aureus carriers has shown to be a cost-effective strategy to reduce post-surgical infections and resulting extended hospital stays.


Performed By
Alverno Laboratories

Performing Laboratory
Alverno Central Lab  
NMB13 (Molecular Biology, BD Max)


Last Updated: June 7, 2023


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.