Mycobacteria, Culture, Identification, and Susceptibility, Blood

Test Code
8518


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
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


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



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.