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HelpTest Code Billings Clinic: 6652 Culture, Wound or Abscess
Additional Codes
| Ordering Mnemonic |
|---|
| MayoAccess: BCL251 |
Performing Laboratory
Billings Clinic LaboratoryMethodology
Includes Gram stain.Note: If anaerobes are suspected, see Billings Clinic: #6782 “Culture, Wound or Abscess, Anaerobic Bacteria.”
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.
1. Disinfect skin surface with 70% alcohol. Allow to dry.
2. Aspirate deepest portion of lesion or sinus with a sterile needle and syringe or catheter. Avoid contamination with normal flora from skin, rectum, vagina, or other body surfaces.
3. If unable to aspirate, 2 sterile culture transport swabs may be used to obtain specimen. Pass swab deep into lesion and sample lesion’s advancing edge.
4. Aseptically transfer 0.5 mL of pus/aspirated material or 2 culture transport swabs into a screw-capped, sterile container with transport medium supplied.
5. Label container with patient’s name (first and last), date and actual time of collection, and type of specimen.
6. Maintain sterility and forward promptly at ambient temperature only. Do not refrigerate.
Note: Specimen source is required on request form for processing.
Reference Values
No growthAutomatic call-back: positive for methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococcus
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.