Culture, Cystic Fibrosis Respiratory

Test Code
CXCFR


CPT Codes
87070

Includes
Additional tests and charges may apply for Identification and susceptibility, if applicable.
  • Gram Stain on all cystic fibrosis orders.


Preferred Specimen
Sputum
Deep Pharangeal Swab


Other Acceptable Specimens
Refer to Respiratory Culture


Instructions
COLLECTION OF SPUTUM SPECIMEN:  PATIENT INSTRUCTIONS
Follow this procedure if the physician has requested an outpatient specimen collection for AFB culture, respiratory culture, or other testing on sputum specimens:
 
Collect specimen when patient first gets up in the morning, before eating:
  1. Brush teeth with a wet toothbrush, -- without toothpaste.
  2. Rinse mouth and gargle with water.
  3. Cough deeply from the lower chest and collect 5-10 ml sputum into the sterile container provided.
    • Testing requires sputum specimen from a deep cough. Do not collect saliva (spit) from the mouth or postnasal discharge..
  4. Screw the lid carefully onto the container, and place the container inside the “zip-lock-type” bag which the lab provided. The bag has the word “Biohazard” on the outside of the bag.
  5. Bring specimen to the lab within 1-2 hours. If there is a delay of more than 3 hours, refrigerate the specimen. Specimen must be delivered to the lab before 2:00 pm on the day it is collected.


Methodology
Standard Culture

Setup Schedule
24x7


Report Available
2-3 days


Reference Range
Normal Flora
 


Clinical Significance

For cystic fibrosis respiratory specimens, Isolate and identify ALL potential pathogens, including sensitivity (even if just small quantity of pathogen).  Major Pathogens include:  Staphylococcus aureus, Haemophilus influenzae, Ps. aeruginosa, and Burkholderia cepacia complex.



Performed at CMC Microbiology


Performing Laboratory
CRMC Microbiology 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.