Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Test Name: Sunquest Test Code Epic Procedure Code Or ID CPT Code:  

CULTURE, LOWER RESPIRATORY, AEROBIC ONLY

ORDERING INFORMATION:
Sunquest Test Code:
LRESPC      Geisinger Epic Procedure Code: LRESPC         Geisinger Epic ID: 47522

SPECIMEN COLLECTION
Specimen type:
Expectorated/deep cough sputum, aspirated sputum, tracheal aspirate, bronch aspirate.
Preferred collection container:
Alternate Collection Container:
Sterile specimen container
Specimen required:
Collect expectorated/deep cough sputum in sputum collector (preferred) or sterile specimen container (also acceptable). Collect aspirated sputum, tracheal aspirate, and bronchial aspirate in collection trap (preferred) or sterile specimen container (also acceptable).
Special notes:
For Bronchial lavages and washings, order Quantitative Bronchial Culture. See Respiratory Culture Ordering Practices for additional information.

SPECIMEN PROCESSING
Transport temperature:
Sterile specimen container/trap: Room temperature or refrigerated.
Specimen stability:
Sterile specimen container/trap: < 24 hours
Rejection criteria:
Improperly labeled/identified specimens, 24-hour sputum collections, duplicate specimens from the same day, sputum/tracheal aspirate specimens deemed not suitable due to contamination with oral secretions (patients >6 years old only). Expired collection device/swab. Grossly contaminated specimens. Delay in transport or transport at wrong temperature.

TEST DETAILS
Reference interval:
No growth. Normal pharyngeal flora.
Additional information:
The College of American Pathologists recommends that a Gram stain be performed on all sputum or tracheal aspirate specimens to determine specimen suitability. For that reason, a Gram stain will be ordered and performed at an additional charge for this purpose. Culture will not be performed if the specimen is deemed unacceptable due to excessive contamination with oral secretions.
CPT code(s):
87070, 87205
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.  The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.
Test includes:
Isolation, semi-quantitation, and identification of aerobic respiratory pathogens and semi-quantitation of normal flora. Bacterial identification and antibiotic susceptibility testing performed as appropriate. Additional charges may apply.
Methodology:
Culture
Synonyms:
Respiratory, pneumonia, tracheal aspirate, trach, sputum, culture
Clinical significance:
Isolation of potential respiratory pathogens can be useful in the diagnosis of respiratory tract infection. The significance of any isolate must be evaluated when normal oral flora is present.
Doctoral Director(s:)
Donna Wolk PhD, D(ABMM), Raquel Martinez, PhD, D(ABMM)    
Review Date: 03/25/2019

Performing Locations

Geisinger Medical Center

Performing laboratory: Microbiology
Technical Lead: Barbara Shoemaker
Frequency: Daily, all shifts
Performed stat? No
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