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HelpTest Code Billings Clinic: 6705 Culture, Sputum, Fungus
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.
General Information:
Fungal cultures are held for 24 to 28 days. Physician and/or nurse in charge of patient will be notified immediately of any significant fungal growth.
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.
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.
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
No growth
Automatic call-back: positive for any systemic fungus
Day(s) Test Set Up
Monday through Sunday
Test Classification and CPT Coding
CPT Code:
87102 - culture, fungus; isolation other
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
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