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Blood Culture [389X]
Test Code103
CPT Codes
87040
Includes
Aerobic Culture and Anaerobic Culture
If culture is positive, identification will be performed at an additional charge (CPT code(s): 87076 or 87106 or 87077 or 87140 or 87143 or 87147 or 87149).
Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186).
If culture is positive, identification will be performed at an additional charge (CPT code(s): 87076 or 87106 or 87077 or 87140 or 87143 or 87147 or 87149).
Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186).
Preferred Specimen
Adults: 8-10 mL blood collected in one of each BacT/ALERT FA PLUS (Pale Green) and BacT/ALERT FN PLUS (Orange) bottles
Neonates and children 1 to 6 years: 1-3 mL blood collected in a BacT/ALERT PF PLUS (Yellow) bottle
Children weighing 30-80 lbs: 3 mL blood collected in a BacT/ALERT PF PLUS (Yellow) bottle or 8-10 mL (3 mL minimum) blood collected in one of each BacT/ALERT FA PLUS (Pale Green) and BacT/ALERT FN PLUS (Orange) bottles
Neonates and children 1 to 6 years: 1-3 mL blood collected in a BacT/ALERT PF PLUS (Yellow) bottle
Children weighing 30-80 lbs: 3 mL blood collected in a BacT/ALERT PF PLUS (Yellow) bottle or 8-10 mL (3 mL minimum) blood collected in one of each BacT/ALERT FA PLUS (Pale Green) and BacT/ALERT FN PLUS (Orange) bottles
Minimum Volume
BacT/ALERT FA PLUS (Pale Green) and BacT/ALERT FN PLUS (Orange) bottles: 3 mL blood/bottle
BacT/ALERT PF PLUS (Yellow) bottles: 0.5 mL blood/bottle is acceptable, but 1 mL is preferred
BacT/ALERT PF PLUS (Yellow) bottles: 0.5 mL blood/bottle is acceptable, but 1 mL is preferred
Other Acceptable Specimens
Bone marrow cultures: For adults, bone marrow collected in one of each BacT/ALERT FA PLUS (Pale Green) and BacT/ALERT FN PLUS (Orange) bottles
Instructions
Do not pre-incubate bottles prior to shipment.
Note: Blood culture bottles compatible with local automated instrumentation.
Note: Blood culture bottles compatible with local automated instrumentation.
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?)
Blood specimens collected in EDTA, sodium citrate or anticoagulants such as SPS or heparin
Methodology
Culture using automated continuous monitoring system
Setup Schedule
Set up: Daily; Report available: 7 days
Reference Range
No growth
Clinical Significance
Bacterial sepsis constitutes one of the most serious infectious diseases. The detection of microorganisms in a patient's blood has importance in the diagnosis and prognosis of endocarditis, septicemia, or chronic bacteremia.
Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Dr
Chantilly, VA 20153