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Test Code CXAFB Culture, AFB

Additional Codes

Epic EAP: LAB877

Epic Description: AFB CULTURE & SMEAR

Synonym

Acid Fast Culture

TB Culture

MAC Culture

Culture for Typical Acid Fast Bacilli

Culture for Atypical Acid Fast Bacilli

Collection Limitations

Gastric washings can only be collected between the hours of 5 A.M. and 9 P.M. and must be delivered to laboratory immediately.

Specimen Type

Varies

Specimen Required

Primary Source: Respiratory Sources

  Collection Container Preferred Volume Minimum Volume
Preferred

Sterile Vial

10.0 mL 2.0 mL

 

Alternate Source: Blood or Bone Marrow

  Collection Container Preferred Volume Minimum Volume
Preferred

Myco/F Lytic BD Bottle

5.0 mL 1.0 mL

 

Alternate Source: Body Fluid

  Collection Container Preferred Volume Minimum Volume
Preferred

Sterile Vial

10.0 mL 1.0 mL
Alternate E-swab collection device 10.0 mL 1.0 mL

 

Alternate Source: Urine

  Collection Container Preferred Volume Minimum Volume
Preferred

Sterile Container

10.0 mL 5 mL

 

Alternate Source: CSF

  Collection Container Preferred Volume Minimum Volume
Preferred

Sterile Container

1.0 mL 0.5 mL

 

Alternate Source: Tissue

  Collection Container Preferred Volume Minimum Volume
Preferred

Sterile Container

Tissue with 1 mL of sterile saline  Tissue with 0.5 mL of sterile saline


 

Instructions for Collection and Transport

Note: this test includes a smear (excluding blood and bone marrow).

Fresh tissue or body fluid is the preferred specimen type instead of a swab specimen. Recovery of mycobacteria is generally very low yield when swab specimens are submitted.

 Transport all  samples refrigerated on freeze packs or store refrigerated if holding overnight.

Performing Lab

Microbiology Lab

Assay Frequency

Monday – Friday

Routine Turnaround Time

Final Neg. at 8 wks. Smear reported day of processing. Positive’s ASAP.

CSR Storage Requirements

Deliver to laboratory. Refrigerate all specimens received between 10 P.M. and 7 A.M. Hold bottles at room temperature.

CPT Code Information

87116

87206 (if applicable)

87015 (if applicable)

Patient Preparation

If blood or bone marrow specimen is collected, sterile prep site with Chloraprep