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HelpTest Code CTBBL Mycobacterial Culture, Blood
Reporting Name
Mycobacterial Culture, BUseful For
Diagnosing mycobacteremia
Specimen Type
Whole bloodShipping Instructions
Specimen must be processed within 7 days of collection.
Necessary Information
Specimen source is required.
Specimen Required
Container/Tube:
Preferred: Green top (sodium or lithium heparin)
Acceptable: SPS (sodium polyanethol sulfonate)
Specimen Volume: 8 to 10 mL per culture
Collection Instructions:
1. Send whole blood specimen in original tube.
2. SPS tubes are acceptable, but not preferred.
3. Note: SPS tubes must be clearly labeled as SPS. If label is obscured, sample may be canceled, as ACD (yellow top) is not an acceptable tube type.
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Whole blood | Ambient (preferred) | 7 days |
| Refrigerated | 7 days |
Reference Values
Negative
If positive, mycobacteria are identified.
A final negative report will be issued after 42 days of incubation.
CPT Code Information
87116-Mycobacterial Culture
87118-Id MALDI-TOF Mass Spec AFB (if appropriate)
87150-Id, Mtb Speciation, PCR (if appropriate)
87150-Mycobacteria Probe Ident, Solid (if appropriate)
87153-Mtb PZA Confirmation, pcnA sequence (if appropriate)
87153-Mycobacteria Identification by Sequencing (if appropriate)
87150- Id, MTB complex Rapid PCR (if appropriate)
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| CTBBL | Mycobacterial Culture, B | 64412-0 |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| CTBBL | Mycobacterial Culture, B | 64412-0 |
Clinical Information
Mycobacteremia occurs most often in immunocompromised hosts. The majority of disseminated mycobacterial infections are due to Mycobacterium avium complex but bacteremia can also be caused by other mycobacterial species including, but not limited to, Mycobacterium tuberculosis complex, Mycobacterium kansasii, Mycobacterium fortuitum, Mycobacterium chelonae, Mycobacterium scrofulaceum, Mycobacterium szulgai, and Mycobacterium xenopi.(1)
Mycobacterial blood cultures may be indicated for patients presenting with signs and symptoms of sepsis, especially fever of unknown origin.
Interpretation
A positive result may support the diagnosis of mycobacteremia.
Reject Due To
| Blood Culture bottles (eg, BACTEC mycoF Lytic, VersaTrek) Isolator Clotted |
Reject |
Specimen Minimum Volume
5 mL
Reflex Tests
| Test ID | Reporting Name | Available Separately | Always Performed |
|---|---|---|---|
| ISMY | ID by 16S Sequencing | No, (Bill Only) | No |
| RMALM | Id MALDI-TOF Mass Spec AFB | No, (Bill Only) | No |
| RTBSP | Id, Mtb Speciation, PCR | No, (Bill Only) | No |
| LCTB | Id, MTB complex Rapid PCR | No, (Bill Only) | No |
Testing Algorithm
When this test is ordered, the reflex tests may be performed at an additional charge.
Method Name
Continuously Monitored Automated Broth Culture Instrument with Conventional Methods for Identification of Mycobacteria
Forms
If not ordering electronically, complete, print, and send a Microbiology Test Request (T244) with the specimen.