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Mycobacteria, Culture, Identification, and Susceptibility, Blood
Test Code8518
CPT Codes
87116
Includes
An additional charge for Concentration (CPT code(s): 87015) will be added as appropriate.
Identification will be performed at an additional charge for each organism:
CPT code(s) 87118: Matrix Assisted Laser Desorption/Ionization-Time of Flight
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 M. avium complex (MAC), M. abscessus complex, M. chelonae, M. fortuitum group, M. kansasii, or M. marinum are isolated, appropriate susceptibilities will automatically be performed at an additional charge (CPT code(s): 87186 per organism).
If other Mycobacteria species are isolated, appropriate susceptibilities can be performed at an additional charge if requested (CPT code(s): 87186 per organism).
Identification will be performed at an additional charge for each organism:
CPT code(s) 87118: Matrix Assisted Laser Desorption/Ionization-Time of Flight
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 M. avium complex (MAC), M. abscessus complex, M. chelonae, M. fortuitum group, M. kansasii, or M. marinum are isolated, appropriate susceptibilities will automatically be performed at an additional charge (CPT code(s): 87186 per organism).
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
5 mL whole blood collected in Myco F/Lytic blood bottle
Minimum Volume
1 mL
Other Acceptable Specimens
5 mL 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
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
