Test Code Billings Clinic: 6606 Culture, Sputum
Additional Codes
Ordering Mnemonic |
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MayoAccess: BCL252 |
Performing Laboratory
Billings Clinic Laboratory
Methodology
Includes Gram stain.
Reflex Information:
This test may automatically reflex to other tests. An additional
fee may be added. The ordering physician/provider must indicate if
the reflex test is NOT DESIRED. Indicate on order if no reflex test
is desired.
Specimen Requirements
Submit only 1 of the following specimens:
Induced
1. Fill ultrasonic nebulizer with 10 mL of 3% sterile sodium
chloride solution.
2. Seat patient in front of nebulizer.
3. Turn on nebulizer and note strong flow of nebulizer saline from
end of flex tubing.
4. Instruct patient to put end of flex tubing inside lips and
inhale aerosol slowly and deeply.
5. Instruct patient to cough deeply and expectorate 2 mL of sputum
into a screw-capped, sterile container.
Note: 1. 24-Hour sputum collection is not
acceptable.
2. “Deep” cough specimen, not saliva, must be collected
for an adequate evaluation. Any specimen containing >25
epithelial cells per low-power field will be rejected because of
oral contamination.
6. If patient cannot expectorate sputum, 5 to 10 minutes of chest
percussion may be administered to stimulate cough and sputum
production.
7. Label container with patient’s name (first and last), date and actual time of collection, and type of specimen.
8. Maintain sterility and forward promptly at ambient or
refrigerated temperature.
Note: Specimen source is
required on request form for processing.
Spontaneous
1. Instruct patient to cough deeply and expectorate 2 mL of
sputum into a screw-capped, sterile container.
Note: 1. 24-Hour sputum collection is not
acceptable.
2. “Deep” cough specimen, not saliva, must be collected
for an adequate evaluation. Any specimen containing >25
epithelial cells per low-power field will be rejected because of
oral contamination.
2. Label container with patient’s name (first and last), date and actual time of collection, and type of specimen.
3. Maintain sterility and forward promptly at ambient or
refrigerated temperature.
Note: Specimen source is
required on request form for processing.
Reference Values
Normal respiratory flora
Normal flora includes alpha-hemolytic Streptococcus
(Viridans group), Neisseria species,
coag-negative Staphylococcus, and diphtheroids.
Automatic call-back: positive for methicillin-resistant
Staphylococcus aureus, vancomycin-resistant
Enterococcus
Day(s) Test Set Up
Monday through Sunday
Test Classification and CPT Coding
CPT Code:
87077 - definitive identification, aerobic; each isolate
87186 - MIC; each isolate
87205 - Gram stain
87070 - isolation and presumptive identification of isolates
(anaerobic culture if appropriate)
87106 - culture fungus, definitive identification, yeast (if appropriate)
87107 - culture fungus, definitive identification, mold (if appropriate)
Microbiology Coding:
Proper coding for MICROBIOLOGY tests depends on what procedures are actually performed which may depend on the organism(s) isolated. When a culture is initially set up, organism(s) may be isolated and a presumptive identification takes place. When/if an organism(s) grows, a definitive identification and possible MIC of each organism may be indicated.
Specimen Requirements Additional Information
Laboratory Department(s): Microbiology
Physician Office Specimen Requirements Additional Information
All