ARUP's Laboratory Test Directory

AFB Culture (Includes AFB Stain 0060151) with Reflex to Mycobacterium tuberculosis Amplified Direct Detection (0060095) : 0060738

Mnemonic: MC AFBR

Methodology: Standard reference procedures for stain and culture. Identification tests of AFB are ordered and billed separately. DNA probes are available for M. tuberculosis complex and M. avium-intracellulare complex as indicated. DNA sequencing and other molecular techniques are used for identification. For drug susceptibilities, refer to Antimicrobial Susceptibility - AFB Mycobacteria (0060217).
Performed: Sun-Sat
Reported: 1-62 days
Stain: 24 hours; Final negative after 8 weeks
Positive cultures are reported as soon as detected
Specimen Required: Patient Prep: 3 sputum specimens should be collected at 8-24 hour intervals (24 hours when possible) and should include at least one first-morning specimen.

Collect: Respiratory specimen.

Specimen Preparation: Transfer (for each collection) 10-15 mL respiratory specimen to a sterile container. (Min: 1 mL)

Storage/Transport Temperature: Refrigerated.

Submit specimen according to Biological Substance, Category B, shipping guidelines.


Remarks: Specimen source required.

Unacceptable Conditions: Multiple same-site specimens (more than one in 24 hours), dry material, or material collected and transported on a SWAB. Specimens other than respiratory.

Stability (collection to initiation of testing): Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 2 weeks
Reference Interval:
Culture negative for acid-fast bacilli.
Identification ordered and performed on positives.
Susceptibility performed on all initial isolates of M. tuberculosis complex.
Susceptibility performed on Mycobacterium other than M. tuberculosis complex isolates by request only.
Susceptibility testing of M. gordonae is inappropriate.
Note: AFB stain, AFB identification of positives, and susceptibility tests are billed separately from culture. Identification of positive culture is billed by individual DNA probes and tests performed. Mycobacterium tuberculosis Amplified Direct Detection (ARUP test code 0060095) will be performed on AFB stain positive specimens. Additional charges apply.
CPT Code(s): 87116 Culture. CPT codes for identification and susceptibility vary based on method. If reflexed, add 87556 Amplified probe.
 
 

 

 

 
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