Culture, Deep Wound

Message
Indicate location/source of wound on requisition. Be specific. Swabs are the LEAST desirable specimen type for wound cultures. If swabs must be used, send two: one for the culture and a separate one for the Gram Stain. Specimens from same site accepted every 72 hours (3 days). Consult with lab for exceptions.
Anaerobic culure is not automatically performed,please add to requisition if anaerobic culture is needed. (anaerobe culture will NOT be performed on aerobic culture swab. These specimens will be plated to an anaerobic broth screen ONLY)
Performed in the Microbiology Laboratory


Test Code
CXDWD


Alias/See Also
wound culture


CPT Codes
87070 and 87205

Includes
Aerobic Bacterial culture, with isolation and presumptive identification of isolates (CPT 87070) and Gram Stain (CPT 87205).
(Reflex to additional bacterial isolate identification if pathogenic organisms are isolated CPT 87077 and bacterial suceptibility if required)


Preferred Specimen
Syringe aspirates
Biopsy specimens


Other Acceptable Specimens
Swabs are acceptable but not desirable


Instructions
Decontaminate skin.


Transport Container
Syringe with the needle removed and Leuer-Lok attached. 
Sterile screw-cap cup or tube with a small amount of normal saline to maintain moisture
Culture Swab


Transport Temperature
Room Temperature


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Decubitus ulcer swab (need tissue biopsy or needle aspirate).


Methodology
Culture and gram stain (susceptibility performed on pathogenic organisms if appropriate).

Setup Schedule
Test performed Sunday through Saturday 6am- 11pm


Limitations
Specimens are accepted every 72 hours from the same site. Specimens sent more frequently are rejected and specimens are held for 48 hours in case an exception is warranted. This policy does not apply to OR specimens or specimens obtained by invasive procedures.


Reference Range
No Growth


Performing Laboratory
Microbiology X65785 /  X65786



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.