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Mycobacteria, Culture, Blood
Test Code10526X
CPT Codes
87116
Includes
This test does not include a primary smear.
If culture is positive, 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).
If other Mycobacteria species are isolated, appropriate susceptibilities can be performed at an additional charge if requested (CPT code(s): 87186 per organism).
If culture is positive, 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).
If other Mycobacteria species are isolated, appropriate susceptibilities can be performed at an additional charge if requested (CPT code(s): 87186 per organism).
Preferred Specimen
3-5 mL whole blood or bone marrow collected in a BD BACTEC™ Myco/F Lytic bottle
Minimum Volume
1 mL
Transport Temperature
Room temperature
Specimen Stability
Room temperature: 72 hours
Refrigerated: Unacceptable
Frozen: Unacceptable
Refrigerated: Unacceptable
Frozen: Unacceptable
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Any specimen other than BD BACTEC Myco/F Lytic bottle • Expired BD BACTEC Myco/F Lytic bottle
Methodology
Continuous Monitoring Blood Culture System
Setup Schedule
Set up: Daily; Report available: 42-56 days
Reference Range
See Laboratory Report
Clinical Significance
Since the mid-1980s and expanding size of the immunocompromised patient population, the incidence of septicemia caused by opportunistic pathogens such as yeast, fungi and mycobacteria has risen. Mycobacterium tuberculosis (MTB) complex and mycobacteria other than tuberculosis (MOTT), especially Mycobacterium avium complex (MAC), have become resurgent.
The Centers for Disease Control and Prevention (CDC) have recommended that every effort must be made for laboratories to use the most rapid methods available for diagnostic mycobacteria testing. These recommendations include the use of a liquid medium for mycobacterial culture. The BD BACTEC fluorescent series instruments are designed for the rapid detection of microorganisms in clinical specimens.
The Centers for Disease Control and Prevention (CDC) have recommended that every effort must be made for laboratories to use the most rapid methods available for diagnostic mycobacteria testing. These recommendations include the use of a liquid medium for mycobacterial culture. The BD BACTEC fluorescent series instruments are designed for the rapid detection of microorganisms in clinical specimens.
