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Test Code Billings Clinic: 6754 Culture, Bone Marrow, 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.

Method Name:

Wampole IsolatorTM System

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

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 growth
Automatic call-back:  any positive

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

CPT Code:

87102 - isolation and presumptive identification of isolates
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