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Test Code Billings Clinic: 6628 Culture, Genital, All Pathogens

Additional Codes

Ordering Mnemonic
MayoAccess: BCL349

Performing Laboratory

Billings Clinic Laboratory

Methodology

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

Specimen must arrive as soon as possible. Call Billings Clinic Laboratory at 866-232-2522 to discuss the best specimen transport.

 

Submit only 1 of the following specimens:

 

Acceptable Specimens:
Cervix, endocervical fluid, endometrial fluid, prostatic fluid, urethral, or vaginal

 

Aspirate
1. Submit 2 mL of aspirated endocervical, endometrial, or prostatic fluid in a screw-capped, sterile container.

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 temperature only. Do not refrigerate.
Note:  Specimen source is required on request form for processing.

 

Swab
1. Obtain 2 swab specimens from infected site.
2. Wipe away excess secretion or discharge.
3. For males, insert urethrogenital swab (ie, Mini-Tip CULTURETTETM) 2 cm to 4 cm into urethral lumen and rotate; leave in place for at least 2 seconds.
4. For females, insert a large culture transport swab into vagina and swab endocervix.
5. Return swab to culture transport tube.
6. Repeat for second swab specimen.
7. Label tubes 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 temperature only. Do not refrigerate.
Note:  Specimen source is required on request form for processing.

Reference Values

Normal vaginal/skin flora

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

CPT Code:

87076 - definitive identification, anaerobic; each isolate
87077 - definitive identification, aerobic; each isolate
87186 - MIC; each isolate
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.

Specimen Requirements Additional Information

Laboratory Department(s):  Microbiology

Physician Office Specimen Requirements Additional Information

All