A B C D E F G H I J K L M N O P Q R S T U V W X Y Z #

Culture Acid Fast Smar Reflex

Test Code
AFB CULT PROG


Alias/See Also
AFB CULT PROG


CPT Codes
87116;87206

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).



Preferred Specimen
10 mL body fluids, lower respiratory tract specimens or gastric lavage collected in a sterile, leak-proof container or
2 mL CSF collected in a sterile, leak-proof container or
2 g fresh (unfixed) tissue, collected in a sterile, leak-proof container or
40 mL urine collected in a sterile, leak-proof container or
1 mL or 1 swab wound, exudates, aspirates, lesion material or ocular specimens collected in a sterile, leak-proof container


Minimum Volume
1


Other Acceptable Specimens
Amies or Stuarts liquid transport swab, Amies or Stuarts gel transport swab, Amies liquid elution swab (Eswab), or equivalent (only if biopsy or aspirate is not available), or

Samples in Anaerobic transport medium, ONLY if it is an irreplaceable sample type, or

Throat/oral/sputum swabs from cystic-fibrosis patients


Instructions
10 ml sputum or induced sputum collected in sterile container


Transport Container
MISC


Transport Temperature
R


Specimen Stability
Room temperature: Not established
Refrigerated: 5 days
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimen in formalin or alcohol • Leaked specimen • 24-hour sputum or urine • Urine in preservative


Methodology
Culture

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



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.