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Acid-Fast Bacilli Blood Culture with AFB Sensitivity
Test Code8518
CPT Codes
87116
Includes
For each organism, identification will be performed at an additional charge: M. tuberculosis Complex Probe (CPT code: 87149), M. avium Complex Probe (CPT code: 87149), M. kansasii Probe (CPT code: 87149) or M. gordonae Probe (CPT code: 87149).
If the organism cannot be identified by the original method, then AFB Sequencing (1, 2 & 3) will be performed at an additional charge (CPT code: 87153).
If TB is isolated for the first time or three months after the first isolate from a patient, susceptibilities will be performed at an additional charge (CPT code: 87190 per drug).
If MAI is isolated, susceptibilities will be performed at an additional charge (CPT code: 87186).
If M. chelonae-abscessus complex or M. fortuitum is isolated, susceptibilities will be performed at an additional charge (CPT code: 87186).
If M. kansasii, M. marinum or M. gordonae is isolated, susceptibilities will be performed at an additional charge (CPT code: 87186).
Preferred Specimen
5 mL whole blood collected in Myco F/Lytic blood bottle
Minimum Volume
1 mL
Other Acceptable Specimens
Bone marrow collected in a Bactec® Myco/F Lytic aerobic blood bottle
Transport Temperature
Room temperature
Specimen Stability
Room temperature: 48 hours
Refrigerated: Unacceptable
Frozen: Unacceptable
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimens in EDTA (lavender-top), heparin (green-top), citrate, ACD or SPS (yellow-top) tubes • Bactec® plus aerobic/f (silver label with gray-top) bottles • Bactec® lytic/10 anaerobic/f (purple label and cap) bottles • Bactec® peds bottle
Methodology
Continuous Monitoring Blood Culture System
Setup Schedule
Set up: Daily; Report available: 6-8 weeks
Reference Range
No acid-fast bacilli isolated
Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153