Mycobacteria Identification !!! NOTE: The contents are valid only for: 07/05/2025 !!!
WSLH Department: | CDD - Communicable Disease Division |
WSLH Test Code: | MM00253 |
Day(s) Performed: | Daily, Monday - Friday |
Turn-around Time: | 1 day to 6 weeks for non-viable cultures |
Recommended Uses: | To identify the species of mycobacteria in a culture isolate |
Pre-approval: | No |
Contraindications: | |
Additional Tests Performed: |
Cepheid GeneXpert MTB/RIF testing will be automatically performed on all isolates positive for MTBC (fee-exempt). Susceptibility testing (MM00204) will be automatically performed on the first M. tuberculosis complex isolate from a new patient. (Additional charge) The initial M. tuberculosis complex isolate from a patient will be automatically genotyped as part of the CDC universal genotyping program (fee-exempt). |
Preparation for Collection: | |
Specimen Requirements: | Pure isolate of an acid fast organism on solid or in liquid media commonly used for the isolation of mycobacteria species. |
Collection Instructions: | |
Collection Kit/Container: |
|
Requisition Form: |
|
Required Information: | Laboratory regulations require the following minimum information to be provided on the requisition form for a specimen to be accepted for testing: Patient name or unique identifier, date and time of collection, patient date of birth and sex, specimen type/site of collection, test request(s), clinician name and UPIN, and address for reporting results. Please be certain that name/identifier on the form matches that on the specimen label which is required to have a minimum of two identifiers. |
Rejection Criteria: | |
Specimen Handling: | Cultures may be transported to the laboratory at ambient temperatures. Avoid temperature extremes. |
Packaging Requirements: | Cultures of M. tuberculosis complex should be packaged and transported according to the guidelines outlined for Category A Infectious Substances. Cultures containing unidentified acid-fast organisms should be packaged and transported according to guidelines for Category B Biological Substances. |
Courier Information: | Specimens submitted for surveillance or at the request of a public health department are eligible for fee-exempt courier. Contact Purple Mountain Dispatch at 800-990-9668 for specimen pickup. |
Specimen Receiving Hours: | Monday-Friday 6:00 AM - 4:30 PM, Saturday 6:30 AM - 12:30 PM |
Results Include: | Mycobacterial species or complex identification. Culture negative for mycobacteria. |
Limitations: | Mixed or contaminated cultures will take longer and an identification may not be possible. Identification of poorly growing or non-viable acid-fast organisms may not be possible. Identification of aerobic actinomycetes, other than Nocardia species, to the genus level is not performed. |
Additional Tests Recommended: | Identification of aerobic actinomycetes to the species level can be performed at National Jewish Health. See MM02879 - Mycobacteria Susceptibility Testing - National Jewish Health for send-out requirements. For susceptibility testing of clinically significant mycobacteria isolates, see M. tuberculosis (TB) Susceptibility First Line Drugs, and M. avium complex (MAC) susceptibility. For extended susceptibility testing, see MM02879 - Mycobacteria Susceptibility Testing - National Jewish Health. |
Additional Comments: | If cultures are known to be mixed or contaminated, please note this on the requisition at time of submission to maximize isolation of pure organism. |
Methodology: | Mycobacteria identification may include one or more of the following analyses: MALDI-TOF, real-time PCR, 16S/rpoB gene sequencing, and growth characteristics. |
Includes: | Identification of Mycobacterium to the complex or species level. |
Regulatory Compliance: | |
CPT Code: | 87118 |
Price: | $105.00 |
Fee Exempt Eligible: | No |
Billing and Revenue Office: | 1-800-862-1065 arbill@slh.wisc.edu |