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Test Code AFCUL CULTURE, ACID-FAST

Additional Codes

Software Test Code
Label Text AFCUL
EPIC LAB10006

Performing Laboratory

NorDx Laboratories

Useful For

Identifying and isolating Acid Fast Bacilli

Positive cultures reflex to organism identification.

M. tuberculosis complex and M. avium complex will reflex to antibiotic susceptibility tests, unless previously performed in the last three months. 

For other acid fast bacilli species, antibiotic susceptibility testing available upon request

Additional charges may apply.

Method Name

Conventional Rapid Culture

Reference Values

No acid fast bacilli isolated.

If positive, mycobacterium will be identified.

Days and Times Test Performed

Monday through Friday

Report Available

Positives are reported when detected

Specimen Type

Submit one of the following:

~ Bronchoalveolar Lavage

~ Cerebrospinal Fluid (CSF)

~ Gastric Lavage – Requires special handling; call Micro prior to collection (fasting, early morning, 3 separate days)

~ Sputum – early morning, 3 separate days

~ Urine, Random – first morning, 3 separate days

Preferred Container

Screw-Capped Sterile Vial – Bronchoalveolar Lavage

Screw-Capped Sterile Vial – Gastric Lavage

Screw-Capped Sterile Vial – Sputum

Screw-Capped Sterile Vial – Urine, Random

Sterile Container – CSF

Preferred Volume

Bronchoalveolar Lavage: 5-10 mL (Screw-Capped Sterile Vial)

Cerebrospinal Fluid (CSF): 0.5 mL (Sterile Container)

Sputum: 5-10 mL, early morning preferred  (Screw-Capped Sterile Vial)

Urine, Random: 40-100 mL (Screw-Capped Sterile Vial)

Other specimens: send as much specimen as possible up to 100 mL.

Minimum Volume

Bronchoalveolar Lavage: 5 mL (Screw-Capped Sterile Vial)

Cerebrospinal Fluid (CSF): 0.2 mL (Sterile Container)

Sputum: 5 mL (Screw-Capped Sterile Vial)

Urine, Random: 40 mL (Screw-Capped Sterile Vial)

Specimen Collection and Handling

1. Collect aseptically, maintain sterility and forward promptly.

2. Transport BAL, CSF, and gastric lavage at room temperature. Transport urine refrigerated.

3. Specimen source is required on request form for processing.

4. For gastric lavage specimens, call NorDx Microbiology prior to collection for special handling requirements.

Specimen Stability Information

Specimen Type: BAL, CSF, Gastric Lavage, Sputum

Room Temperature: 24 Hours

If testing is delayed, refrigerate at 2-8C

Note: Maximum stability: 7 days

 

Specimen Type: Urine

Refrigerated: 24 Hours

Note: Maximum stability: 7 days

Add On Capable

Yes

Advance Beneficiary Notice Requirements

No ABN Required

CPT Code Information

CPT Code

CPT Description

CPT Disclaimer

87015 Concentration (Any Type), for Infectious Agents  
87116 Culture, Tubercle or Other Acid-Fast Bacilli (eg. TB, AFB, Mycobacteria) any Source, with Isolation and Presumptive Identification of Isolates  
87206 Smear, Fluorescent and/or Acid Fast Stain for Bacteria, Fungi, Parasites, Viruses, or Cell Types  
87118 Culture, Acid Fast Bacilli, Definitive Identification, Each Isolate if Indicated
87190 Susceptibility Studies, Mycobacteria, Proportion Method, Each Agent if Indicated
87186 Susceptibility Studies, Acid Fast Bacilli, Broth Microdilution, Panel (varies) if Indicated

Keywords

ACID-FAST BACILLI (AFB)

AFB (ACID-FAST BACILLI)

BACILLUS, ACID-FAST

CULTURE, TB (TUBERCULOSIS)

MYCOBACTERIA CULTURE

MYCOBACTERIUM TUBERCULOSIS

SMEAR, ACID-FAST BACILLI (AFB)

TB (TUBERCULOSIS) CULTURE

TUBERCLE BACILLI: MYCOBACTERIUM TUBERCULOSIS

Performing Laboratory Location

NorDx Laboratories

Maximum Laboratory Time

60 Days

LOINC Code Information

543-9