Stool Culture r/o Yersinia

Message
Testing performed at York Hospital Laboratory. If positive, an identification and sensitivity will be performed at an additional charge.


Test Code
CSSTY


Alias/See Also
Yersinia


CPT Codes
87105, 87045, 87046x2, 87899

Includes
Examined for Salmonella, Shigella, Campylobacter, enterohemorrhagic E. coli (EHEC) Shiga-toxin, and Yersinia. Screening for Vibrio, Aeromonas, and Plesiomonas are special requests and will be performed if requested.


Preferred Specimen
Unpreserved Stool preserved in an enteric transport medium (Cary-Blair) is also acceptable. Rectal swabs (2) are acceptable for patients with active gastrointestinal disease, pediatric patients, or when performing surveillance for carriers or outbreaks.


Transport Container
Sterile Container, Leak-Proof


Transport Temperature
Refrigerated


Specimen Stability
Unpreserved Specimen Room temperature: 1 hour Refrigerated: 24 hours Frozen: Unacceptable Cary-Blair Transport Media Room temperature: 48 hours Refrigerated: 48 hours Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Stool contaminated with urine or paper, such as a specimen in diapers


Methodology
Culture
Immunochromatography

Setup Schedule
Daily


Report Available
Negative Culture - Finalized at 3 days


Clinical Significance
A stool culture is used to detect the presence of disease-causing bacteria (pathogenic) and help diagnose an infection of the digestive tract. It is often used along with other tests such as an O&P test that detects parasites in the stool and/or Clostridium difficile and C. difficile toxin tests, to help determine the cause of prolonged diarrhea. In establishing the cause, the test can help guide treatment, determining whether antibiotics or other medication may be necessary to resolve symptoms. The York Hospital Laboratory evaluates stool cultures for the most common intestinal pathogens:      Campylobacter species      Salmonella species      Shigella species      Escherichia coli (E. coli) O157:H7 This culture also identifies Yersinia species if present.




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.