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HelpTest Code Billings Clinic: 6617 Culture, Bone Marrow, Aerobic Bacteria
Performing Laboratory
Billings Clinic LaboratoryMethodology
Gram stain performed upon request.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.
Method Name:
Wampole IsolatorTM System
Specimen Requirements
Using Wampole IsolatorTM Collection Kit, collect specimen as follows:1. Disinfect stopper of IsolatorTM tube with 70% alcohol and allow to dry.
2. Thoroughly cleanse overlaying skin with 70% alcohol, followed by 2% iodine tincture, moving in concentric circles to periphery. Do not remove iodine.
3. Specimen should be collected by a physician trained in this procedure. Obtain 0.5 mL of bone marrow.
4. Place sterile, 18-gauge needle on syringe and inject bone marrow into Wampole IsolatorTM tube by puncturing stopper with needle. Do not force bone marrow into WampoleTM Isolator tube. This will cause top to pop off.
5. Gently invert tube 4 to 5 times to mix contents.
6. Label tube with patient’s name (first and last), date and actual time of collection, and type of specimen.
7. Maintain sterility and forward promptly at ambient temperature only. Specimen cannot be refrigerated or frozen. Protect specimen from extreme temperatures. When shipping, try to keep specimen as close to ambient temperature as possible.
Note: Specimen source is required on request form for processing.
Reference Values
No growthAutomatic call-back: any positive
Day(s) Test Set Up
Monday through SundayTest Classification and CPT Coding
CPT Code:87076 - definitive identification, anaerobic; each isolate
87077 - definitive identification, aerobic; each isolate
87186 - MIC; each isolate
87205 - Gram stain
87070 - isolation and presumptive identification of isolates (anaerobic culture 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.